Treatment of urethral stricture
Urethral stricture is a urological condition characterized by the narrowing of the urethral canal, making it difficult for urine to pass and significantly affecting the patient’s quality of life.
It may be caused by infections, trauma, previous procedures, or inflammatory processes, and requires a specialized approach to prevent complications and recurrence.
At Andrología Mallorca, we offer a comprehensive and personalized approach for the diagnosis and treatment of urethral stricture.
What is urethral stricture?
Urethral stricture occurs when scar tissue forms inside the urethra, reducing its diameter and obstructing urinary flow.
This narrowing can occur in different segments of the urethra and vary in length and severity.
How does it present?
Symptoms may develop progressively and include:
- Reduced urinary stream strength and caliber
- Difficulty starting urination
- Sensation of incomplete bladder emptying
- Recurrent urinary tract infections
- Post-void dribbling
- In advanced cases, urinary retention
Diagnosis of urethral stricture
Diagnosis requires a specialized evaluation, which may include:
1
Uroflowmetry
2
Urinary tract ultrasound
3
Retrograde urethrography
4
Urethroscopy
These tests help determine the location, length, and severity of the stricture—key factors in choosing the most appropriate treatment.
Treatment options
Treatment of urethral stricture depends on each case and must be individualized. The main options include:
1
Urethral dilation
A minimally invasive procedure to gradually widen the urethra. It may be useful for short strictures, although it carries a higher risk of recurrence.
Optilume is an innovative treatment that combines mechanical dilation with local paclitaxel delivery, reducing scar tissue formation and improving the durability of the result.
2
Urethroplasty (reconstructive surgery)
This is the most effective long-term treatment, especially for complex or recurrent strictures.
It reconstructs the urethra using the patient’s own tissue, offering high success rates.
3
Internal urethrotomy
An endoscopic incision is made in the stricture to improve urinary flow. Indicated in selected cases.
In our urogenital reconstructive unit, we use advanced surgical techniques to ensure optimal results.
Benefits of specialized treatment
Proper management of urethral stricture improves urinary flow, reduces the risk of infections, helps prevent long-term complications, and restores quality of life.
When should you seek medical advice?
You should consult a specialist if you experience:
- Weak or intermittent urinary stream
- Difficulty urinating
- Recurrent urinary tract infections
- Sensation of incomplete emptying
Early diagnosis allows for less invasive and more effective treatments.
At Andrología Mallorca, we work closely with reconstructive surgery experts to provide personalized and effective solutions for the treatment of urethral stricture.