About Urethral Stricture

Occurs when an obstruction is present anywhere in the urethra, it causes the urethra passage to narrow.

Signs and Symptoms

  • Recurrent urinary tract infections
  • A slow flow of urine
  • Frequent urination
  • Urinary incontinence (inability to control urination)
  • Pain upon urination or pain on the lower abdominal area
  • Straining to pass out urine
  • Feeling that bladder is not fully emptied
  • Blood in the urine (hematuria)


  • Taking the patient’s history and physical assessment for males.
  • Retrograde urethrogram
  • Urethroscopy or cystoscopy
  • Urinalysis, urine culture, and urethral culture
  • Voiding Cystourethrogram (VCUG)
  • Imaging studies: Ultrasound, MRI, CT-scan
  • Prostate-specific antigen (PSA)

Treatment for Urethral Stricture

  • Urethral dilators
  • Urethrotomy or Direct Vision Urethrotomy
  • Insertion of the foley catheter or placement of the stent
  • Surgical urethral reconstruction or Urethroplasty

Risk Factors and Complications

Risk factors for urethral stricture:

  • Men who experienced one or more sexually transmitted infection
  • Recent experience of trauma or injury in the pelvic area
  • Who just had foley catheter/ catheter inserted through the urethra to drain urine
  • Had just experienced infections affecting the urethra such as urethritis and urinary tract infection
  • Men who have prostate enlargement
  • Recent surgery in the urethra or prostate

Possible complications from urethra stricture treatment:

  • Recurrence of urethral stricture
  • Bleeding
  • Infection
  • Urinary incontinence- the inability to hold or control urination.

Recovery Time

  • The indwelling catheter will be placed for about 10 to 20 days to allow the urethra to heal.
  • Sexual intercourse can be resumed after the indwelling catheter is removed.
  • Resume light work after 2 weeks.
  • Physical demanding jobs resumed after 4 weeks at least.
  • Showers can be taken 2-3 days after surgery.
  • Take prescribed pain medications to alleviate pain, swelling and discomfort.
  • Contact your urologist for unusualities.

Check-ups after Surgery

Scheduled clinic visits by the urologist.

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