Experiencing difficulty while passing urine or a persistently weak urine stream? These symptoms could be more than just a urinary infection—they may indicate a condition known as urethral stricture, a common yet underdiagnosed urological problem.
As a leading Consultant Urologist & Andrologist in Baner, Pune, Dr. S K Palash specializes in the diagnosis and treatment of urethral stricture using both endoscopic and surgical methods tailored to the patient’s needs.
What is a Urethral Stricture?
A urethral stricture occurs when the urethra—the tube that carries urine from the bladder to the outside—is narrowed due to the formation of scar tissue. This narrowing obstructs the normal flow of urine and can lead to significant urinary symptoms and complications if left untreated.
What Causes a Urethral Stricture?
Several factors can lead to the formation of scar tissue in the urethra, including:
Previous injury or trauma to the pelvic region
Prolonged catheterization or repeated medical procedures involving the urinary tract
Urinary tract infections, including some sexually transmitted infections (STIs)
Previous urethral surgeries or instrumentation
Inflammatory conditions such as lichen sclerosus
Identifying the cause is important as it helps in determining the most effective treatment approach.
Common Symptoms to Watch For
The symptoms of a urethral stricture can vary depending on the severity of the narrowing. Common signs include:
Weak or slow urine stream
Straining or difficulty while urinating
Feeling of incomplete bladder emptying
Increased frequency or urgency to urinate
Recurrent urinary tract infections (UTIs)
Blood in urine (hematuria)
In severe cases, complete inability to urinate (urinary retention)
If you're experiencing any of these symptoms, it's important to seek timely evaluation.
How is Urethral Stricture Diagnosed?
Dr. S K Palash employs advanced diagnostic tools to confirm the presence, location, and extent of the stricture:
Uroflowmetry – Measures the rate and flow of urine
Ultrasound – To check bladder emptying
Retrograde Urethrogram (RGU) – A contrast X-ray that outlines the stricture
Cystoscopy – A direct visual inspection of the urethra using a thin camera
These tests allow for a precise diagnosis and help in planning appropriate treatment.
Treatment Options for Urethral Stricture
Treatment depends on the length, location, and severity of the stricture, as well as whether it has recurred. Options include:
1. OIU (Optical Internal Urethrotomy): An endoscopic procedure where the stricture is incised from inside using a special instrument. It’s minimally invasive and has a short recovery time.
2. Urethral Dilatation: Gradual widening of the narrowed area using special dilators. It may require repeat sessions.
3. Urethroplasty: An open surgical repair that offers the highest long-term success, especially for longer or recurrent strictures. It may involve excision of the scarred segment and rejoining the healthy ends or using tissue grafts.
4. CIC (Clean Intermittent Catheterization): Used for maintaining urethral patency in patients prone to recurrence. It’s a self-care technique taught to the patient.
Is Urethral Stricture a Recurring Problem?
Yes, recurrence is possible, especially after simple dilatation or OIU. Urethroplasty, however, provides the best long-term results, particularly in complex or recurrent cases. Regular follow-ups help monitor for any signs of recurrence.
Can Urethral Strictures Be Prevented?
While not all causes are preventable, the risk can be reduced by:
Avoiding unnecessary or prolonged catheterization
Practicing safe sex to prevent STIs
Seeking timely treatment for urinary infections
Avoiding trauma to the pelvic area
Recovery and Pain Management
OIU and dilatation usually require minimal recovery time (a few days).
Urethroplasty may require 1–2 weeks of rest and catheter care.
All procedures are typically done under local, spinal, or general anesthesia, so they are not painful.
Mild discomfort post-procedure is usually well managed with medication.
When to See a Urologist?
If you're experiencing:
Difficulty or pain while urinating
Weak urine stream
Frequent UTIs
Blood in urine
It’s essential to consult a qualified urologist like Dr. S K Palash in Baner, Pune for early evaluation and treatment to avoid complications like kidney damage or bladder dysfunction.
Urethral stricture can be a frustrating condition, but with early diagnosis and appropriate treatment, patients can enjoy a full recovery and improved quality of life. At his urology clinic in Baner, Dr. S K Palash offers personalized care with advanced, minimally invasive, and surgical treatment options.
Disclaimer: The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. The information is provided solely for educational purpose and should not be considered a substitute for medical advice.
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