Stephen J. Schueler, M.D.

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Scar Tissue Blocking the Urethra Treatment

A mild urethral stricture that is not causing problems may not require any treatment. For more severe urethral strictures, the initial treatment may include the insertion of a urinary catheter into the bladder to relieve any urinary obstruction. Treatment options may include urethral dilation or surgery.

Specific treatment for a urethral stricture may include:

  • Urinary catheter
    • A rubber tube is inserted into the urethra, in order to drain urine from the bladder.
  • Dilation of the urethra:
    • The opening in the urethra is gently stretched, in order to reduce the narrowing.
  • Surgery for a urethral stricture:
    • Urethroplasty: To dilate the urethra or repair the urethra
    • Endoscopic internal urethrotomy: instruments are passed through the scope that remove the stricture or vaporize it with a laser.
    • Reconstructive surgery
    • Implanted urethral stent to hold open the urethra

Scar Tissue Blocking the Urethra Questions For Doctor

The following are some important questions to ask before and after the treatment of urethral stricture.

Questions to ask before treatment:

  • What are my treatment options?
    • Is surgery an option for me?
  • What are the risks associated with treatment?
  • Do I need to stay in the hospital?
    • How long will I be in the hospital?
  • What are the complications I should watch for?
  • How long will I be on medication?
  • What are the potential side effects of my medication?
  • Does my medication interact with nonprescription medicines or supplements?
  • Should I take my medication with food?

Questions to ask after treatment:
  • Do I need to change my diet?
  • Are there any medications or supplements I should avoid?
  • When can I resume my normal activities?
  • When can I return to work?
  • What else can I do to reduce my risk for urethral stricture again?
  • How often will I need to see my doctor for checkups?
  • What local support and other resources are available?

Scar Tissue Blocking the Urethra Specialist

Physicians from the following specialties evaluate and treat a urethral stricture:

Scar Tissue Blocking the Urethra Surgery

Surgical procedures for a urethral stricture may include:

  • Urethral dilation:
    • Gradually-increasing sizes of metal rods are placed in the urethra, in order to stretch the urethra.
  • Internal urethrotomy:
    • A flexible scope is used to introduce an instrument that cuts the scar tissue, which opens the urethra and allows more room for the passage of urine.
  • Urethral stents:
    • A flexible scope is used to place a permanent tube inside the urethra, which holds the urethra open.
    • Performed in those who cannot tolerate surgery
  • Urethral repair:
    • The damaged section of the urethra is removed and the undamaged areas re-connected.
  • Urethral reconstruction:
    • Transplant issue is used to reconstruct the damaged section of the urethra.

Continue to Scar Tissue Blocking the Urethra Home Care

Last Updated: Jun 8, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Scar Tissue Blocking the Urethra References
  1. Berger AP, Deibl M, Bartsch G, Steiner H, Varkarakis J, Gozzi C. A comparison of one-stage procedures for post-traumatic urethral stricture repair. BJU Int. 2005 Jun;95(9):1299-302. [15892821]
  2. Chapple CR, Png D. Contemporary management of urethral trauma and the post-traumatic stricture. Curr Opin Urol. 1999 May;9(3):253-60. [10726100]
  3. Kessler TM, Schreiter F, Kralidis G, Heitz M, Olianas R, Fisch M. Long-term results of surgery for urethral stricture: a statistical analysis. J Urol. 2003 Sep;170(3):840-4. [12913712]
  4. Shah DK, Paul EM, Badlani GH; North American Study Group. 11-year outcome analysis of endourethral prosthesis for the treatment of recurrent bulbar urethral stricture. J Urol. 2003 Oct;170(4 Pt 1):1255-8. [14501736]
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