There are several options for treatment of urethral stricture disease. The type of procedure your doctor selects depends upon the length, location, and extent of scar tissue associated with the stricture.
Treatment options include:
Enlarging the narrowing by dilations
Cutting the stricture through a scope with a knife (urethrotomy)
Surgical removal (excision) of the diseased segment with reconnection and reconstruction possibly with flaps or grafts (substitution)
Current research shows that dilations and/or urethrotomies are not durable procedures, meaning that failure rates are high for these endoscopic procedures. Many times, strictures will come back with longer lengths and more dense scarring.
Urethroplasty – High Cure Rates and Benefits for Patients
Urethroplasty is the surgical excision (removal) of the urethral stricture. Research also shows that urethroplasty has excellent cure rates. Reconstructive urologists use various techniques including penile skin flaps and extra-genital skin (skin lining inside of the mouth) grafts in urethroplasty.
For patients with recurrent urethral stricture disease, urethroplasty is often the treatment of choice. Urethroplasty is a surgical procedure most often performed by a reconstructive urologist that repairs the scarred urethra to restore normal urine flow.
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