Urethroplasty reconstructs a scarred urethra for durable urine flow
Short strictures may be excised and reconnected; longer or complex segments may require oral mucosal grafts, flaps or staged surgery.
Repeated dilation or urethrotomy can alter scar length and tissue quality. Prior trauma, infection, radiation and lichen sclerosus change technique and recurrence risk.
Do not compare techniques without knowing location, length, previous procedures and the condition of surrounding tissue.
Who may be considered?
Specialist review may help when the diagnosis, symptoms and previous treatment create a focused question about urethroplasty.
- Recurrent or long urethral stricture.
- Poor durability after dilation or internal urethrotomy.
- Traumatic urethral disruption requiring reconstruction.
- Complex narrowing after hypospadias repair, radiation or inflammatory disease.
What the specialist team must confirm
Review retrograde urethrogram and voiding study, cystoscopy, urinary flow and residual, infection, continence, erectile function, prior instruments, trauma and tissue or skin disease.
Key points for this treatment
From complete stricture mapping to durable flow review
The team plans reconstruction beyond the visible narrow point and documents how catheter removal will be tested.
Catheter healing is followed by recurrence surveillance
A catheter remains while the repair seals. Imaging or endoscopic assessment before removal varies by case.
Urinary flow, symptoms and residual urine are monitored because recurrence can develop gradually. Sexual, continence or perineal symptoms should also be reviewed.
Risks, limits and realistic expectations
Risks include bleeding, infection, urine leak, recurrent stricture, fistula, altered ejaculation, erectile or continence change, oral graft discomfort and further reconstruction.
Fever, catheter blockage, severe bladder pain, rapidly increasing perineal swelling or inability to pass urine after catheter removal requires urgent local care.