If you are a man with a urethral stricture (narrowing of the urethra), you should know that before you are treated with urethral dilation or an internal urethrotomy (incision of the stricture also called a DVIU), you should first have proper imaging (not just a scope test) to determine the length of the stricture.
In addition, if the urethral stricture is longer than 1/2-3/4 of an inch or if you had a single dilation or incision, and the stricture came back, open repair called urethroplasty is the proper standard of care.
Most of our patients are referred to us or seek our care without referral after they have had multiple failed treatments without first having appropriate diagnostic imaging or knowing that they can be cured with up to a 98+% cure rate with a single surgery, rather than suffer with recurrent strictures and be managed with repeated procedures that only offer temporary relief (see LINK to our recently presented abstract that details the extent to which men with urethral strictures are treated with an incomplete diagnosis without even knowing urethroplasty is an option).
This is a patient information section on urethral stricture disease. If you look towards your left, you will see sub-sections discussing all aspects of urethral strictures, including causes, diagnostic tests, and treatment options. The intro and anatomy section reviews the parts of the urethra and the terminology used when discussing strictures of the urethra.
The following section then explains the causes and symptoms of urethral strictures, and also the damage that is caused when a stricture is not effectively treated. Then, the tests performed to make a diagnosis are reviewed including X-ray imaging. Once the exact length and location and severity of the urethral stricture is determined, patients with strictures can choose treatment with dilation, an internal incision called a urethrotomy or DVIU, stent placement, or open surgery called urethroplasty or urethral reconstruction to repair the urethra.
The next sections discuss specific problems such as straddle injury associated strictures that affect a portion of the urethra called the bulbar urethra, pelvic bone fracture associated urethral tears and disruptions involving a portion of the urethra called the posterior membranous urethra, and other specific strictures. In addition, a specific disease of the skin of the penis that is often associated with urethral stricture disease called Lichen Sclerosus = Lichen Sclerosis – Balanitis Xerotica Obliterans = BXO is reviewed along with the complications of stricture surgery, especially when performed by inexperienced surgeons not exclusively specialized in male urethral and penile surgery.
In the last section, our results and outcomes are discussed. Should you wish to return to the main page of the Conditions Treated at the Center for Reconstructive Urology, then click the “Conditions” button on the top menu of any page. After reading about urethral strictures, and you want to learn more, click on “Videos” where you will be taken to a section with additional information including the experiences of actual patients.