Urethral Stricture Treatments
In some cases, a urethral stricture requires no treatment except close observation to avoid complications, such as infection. If you are unable to drain your bladder completely, your physician may catheterize you (insert a small tube into your bladder) to let the urine pass. You may be taught how to catheterize yourself if this is an ongoing problem.
If further treatment is required, it may be one of the following:
- Cystoscopy: Your physician may use this scope to view the stricture and cut through it or use a laser to remove any blockage.
- Dilation: Your urethra can be widened by introducing a wire through the stricture and feeding increasingly large dilators onto the wire to stretch the urethra.
- Urethroplasty: For shorter strictures, a surgeon may remove the portion of the urethra with a stricture and stitch the ends together. For longer strictures, a surgeon may substitute tissue from the inside of your cheek to rebuild the portion that was removed.
- Urethral stent: An artificial tube may be permanently implanted in your urethra to allow urine to drain fully from the bladder. This method is not ideal, since it increases the risk of infection and irritation.