Table of Contents
- Overview
- Symptoms
- Treatment
- Prevention
- Images
The urethra may be widened (dilated) during cystoscopy by inserting a thin instrument to stretch the urethra while you are under local anesthesia. You may be able to treat your stricture by learning to dilate the urethra at home.
If urethral dilation is not successful or possible, you may need surgery to correct the condition. Surgical options depend on the location and length of the stricture. If the stricture is short and not near the urinary sphincter, options include cutting the stricture via cystoscopy or inserting a dilating device.
An open urethroplasty may be done for longer strictures. This surgery involves removal of the diseased part followed by reconstruction. The results vary depending on the size and location, the number of treatments you have had, and the surgeon's experience.
In cases of acute urinary retention, a
There are currently no drug treatments for this disease. If all else fails, a urinary diversion -- appendicovesicostomy (Mitrofanoff procedure) -- may be done. This allows you to perform self-catheterization of the bladder through the wall of the abdomen.
Expectations (prognosis)
Treatment usually results in an excellent outcome. However, repeated therapies may be needed to remove the scar tissue.
Complications
Urethral stricture may totally block urine flow, causing acute urinary retention. This condition must be treated quickly.
Calling your health care provider
Call your health care provider if symptoms of urethral stricture occur.
Previous Section
Review Date: 09/03/2010
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of
Physician Assistant Studies, University of Washington, School of
Medicine; Scott Miller, MD, Urologist in private practice in
Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical
Director, A.D.A.M., Inc.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)
