Stephen J. Schueler, M.D.

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Stricture in 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.

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Last Updated: Jan 6, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Stricture in 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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