Urethral Stricture

See all Pictures & Images

Urethral Stricture Treatment

Placement of a suprapubic catheter, which allows the bladder to drain through the abdomen, may be necessary to alleviate acute problems such as urinary retention.

Dilation of the urethra may be attempted by inserting a sound (a thin instrument used to stretch the urethra) under local anesthesia. If urethral dilation is not possible, surgery may be necessary to correct the condition. Surgical options vary depending on the location and the length of the stricture.

Cystoscopic visual urethrotomy may be all that is needed for small stricure. A urethral stent for cystoscopic insertion may also be used.

An open urethroplasty may be performed for longer stricture by removing the diseased portion and/or replacing it with other tissue. The results vary depending on the size and location of urethroplasty, the number of prior therapies, and the experience of the surgeon.

There are no drug treatments currently available for this disease. If all else fails, a urinary diversion -- appendicovesicostomy (Mitrofanoff procedure) may be performed to allow patient to perform self-catherization of the bladder through the abdominal wall.