Urethral Stricture: 

Narrowing of Urethra causing obstructed urinary flow.

Best Chance for Cure of Stricture is in the first attempt. 

All further attempt has a higher failure rate.

It is important to know the best option for your Urethral Stricture..

Cause:

Trauma: Catheter /Injury/ Instrumentation

Infection: urine Infection/ Urethritis/ STD

Congenital: with or without Hypospadias

Idiopathic: Unknown reason

Symptoms:  

Decreased Urine flow

Straining for urination

Recurrent UTI

kidney failure Due to Back Pressure

Diagnosis :

Uroflowmetry

RGU / MCU 

RGU Demonstrating Bulbar urethral stricture

Cystoscopy

Treatment :

There is no medication for Urethral Stricture 

Except for transient use of Antibiotics to control infection.

DVIU / OIU : 

Suitable only for soft Mucosal stricture Less than 5mm Length

advantage: minimally invasive

Disadvantage: Hugh rate of recurrent stricture.2nd attempt of DVIU has almost100% Failure.

Anastomotic Urethroplasty:

for strictures 5mm to 25mm Length.

Advantages: high success rate

Disadvantage: Risk of erectile problems due to a urethral transaction.

Cross section of urethra
Tunica Albuginea Urethroplty

Substitution urethroplasty : 

for stricture not suitable for the above methods.

Previous failed Stricture

Buccal mucosa graft is the most common substitution 

other options are Penile Skin or Tunica Albuginea.

What is the Best Option? for me

DVIU/OIU: 

First-time stricture, 

less than 5 mm without any attempted history of catheterization 

Anastomotic Urethroplasty: 

stricture up to 2-2.5 CM 

in individuals over age of 50

Substitution Urethroplasty: 

For all type of strictures, 

Failed strictures

Staged urethroplasty: 

Failed strictures, 

full-length strictures, 

complex strictures with infection or fistula

Still, final treatment option depends upon many other factors to be seen or decided by your urologist depending upon disease condition and availability of resources patient parameters, presence of infection or fistula, complexy of reconstruction and available expertise in certain procedures.

For further information you vany reach to Dr Aditya K Sharma MCh Urologist and reconstructive Urethroplasty and transplant surgeon at 8130014199 or write to us at aks.urology@gmail.com. visit www.aksurology.com and for operative videos visit youtuve channel @dradityaks