Urethral Stricture

A urethral stricture, also known as a urethral obstruction, is scar tissue that builds within the urethra, making it difficult to urinate. Because of its length and location, the male urethra and genitourinary system are especially prone to injury. Urethral strictures are more common in men because their urethras are longer than those in women. In some cases, the cause of urethral stricture is not known. 

Our reconstructive urologists specialize in treating people who have ongoing urethral stricture complications, as well as those who are experiencing urethral stricture recurrence from failed repairs or surgeries. 

Factors that may cause urethral stricture:

  • Previous hypospadias surgery
  • A traumatic incident, like a car accident or bicycle injury
  • Urethral cancer
  • Sexually transmitted diseases like gonorrhea and chlamydia
  • Procedures that involve placing a tube into the urethra

Symptoms of urethral stricture include:

  • Bloody or dark urine
  • Loss of bladder control
  • Swelling of penis
  • Pain in the pelvic area or lower abdomen
  • Blood in semen
  • Discharge from the urethra
  • Frequent urination
  • Slow urine stream that develops gradually
  • Spraying of urine

Urethral Stricture Treatment

Urethral stricture can be treated with urethroplasty, a minimally invasive surgical procedure that removes or widens the narrowed section of the urethra. The recurrence of strictures after urethroplasty is very low. 

Other treatment options for urethral stricture include:

  • Dilation
  • Catheterization
  • Endoscopic urethrotomy
  • Endoscopic urethrotomy
  • Permanent catheter or artificial stent

Appointments and Referrals

Location

La Jolla

Meet Our Specialist

Dr. Jill Buckley, a leading expert in male reconstructive urology, has co-authored numerous research studies and several surgical textbooks on urethral reconstruction, acute urinary trauma management and genitourinary reconstruction. She is nationally recognized for her work in complex urinary reconstruction.