Causes and Diagnoses

Causes and Diagnoses of Urethral Stricture

In most cases, a cause for urethral scar formation leading to urethral stricture cannot be established. Possible causes can include:

• An injury causing immediate symptoms, such as a straddle injury.
• A subtle trauma that develops over many years, such as from frequent bicycle rides.
• An underlying condition, such as lichen sclerosus.

Diagnosis is typically made with an X-ray, during which dye is injected into the urethra at the tip of the penis. Alternatively or in addition, the insertion of a small camera through the urethra can help identify the location and severity of the stricture.

This work-up can be done in the office within a few minutes. Results of this testing will help your physician explain your reconstructive options in detail.