By Dr. Héctor Ajubita Fernández - Urology Specialist. GUA Urology and Andrology.
Urethral stricture: a complete guide to understanding and treating it
Table of Contents
- What is urethral stricture and why does it matter?
- Symptoms and how it affects day-to-day life
- Diagnosis: what tests do we perform
- Treatments: from the simple approach to reconstruction
- Frequently asked questions
- Practical tips while waiting for the appraisal
- How we accompany you in GUA
- Make an appointment today
What is urethral stricture and why does it matter?
The urethral stricture is more than a narrowing of the urinary tract: it can significantly alter the quality of life. When pain, difficulty urinating or the sensation of incomplete emptying occurs, routine changes completely. Early detection and treatment prevents complications such as infections, urinary retention or progressive damage to the bladder and even the kidneys. The earlier you consult, the simpler the solution is usually.
Symptoms and how it affects day-to-day life
- Weak or broken stream, straining to urinate, stinging and dribbling.
- Recurrent urinary tract infections and sensation of incomplete emptying.
In addition to the physical aspect, many patients describe social limitations (constantly looking for toilets), anxiety about the possibility of retention and discomfort in their intimate life. Our approach seeks to restore your quality of life, not just "fix the urethra".
Diagnosis: what tests do we perform
At the first visit we explain each step to you. We use safe and well-tolerated tests to confirm the diagnosis and plan the best treatment:
- Uroflowmetry: measures the strength and quantity of the jet.
- Urological ultrasound: evaluates bladder and rules out complications.
- Retrograde urethrography: shows narrowing.
- Urethrocystoscopy: direct vision of the urethra with a flexible camera; it is performed under local anesthesia and the diagnosis is immediate. It is usually completed in minutes.
The objective is always to confirm the diagnosis in order to decide the most effective option in your case.
Treatments: from the simple approach to reconstruction
There is no universal treatment; we individualize each case. These are the most frequent options:
Urethral dilatations
Ambulatory procedure useful in mild stenosis. If it fails or the stricture recurs, more definitive alternatives should be considered.
Endoscopic internal urethrotomy
Minimally invasive technique that incises the narrowing from the inside, with endoscopic scalpel or laser. It is usually recommended in initial cases, congenital or with little fibrosis.
Paclitaxel Balloon Catheter Dilatation (OPTILUME)
A novel procedure that can be combined with urethrotomy in the same procedure. Paclitaxel reduces postoperative fibrosis and improves results, also on an outpatient basis.
Reconstructive surgery (urethroplasty)
Recommended in complex or recurrent stenosis. It offers the highest success rates and long-lasting results. In men with short strictures that do not affect the penile urethra, end-to-end anastomosis (resection of the diseased segment and joining the ends) can be performed. In long strictures or strictures that affect the penile urethra and in women, enlargement urethroplasty with buccal mucosa grafts (cheek, tongue or lip) is chosen. Two-stage surgeries are reserved for complex cases.
At GUA Urology and Andrology we have experience in urethral reconstructive surgery to offer definitive solutions in severe or recurrent strictures.
Frequently asked questions
Can urethral stricture recur?
Yes, it can in some cases. That is why regular follow-up after treatment is key.
Is the treatment painful?
The techniques are performed under anesthesia and are usually painless. The postoperative period is usually well tolerated, with progressive recovery.
Can it affect sex life?
After successful treatment, it is usual to resume a normal sex life. At GUA we also attend to this aspect to offer peace of mind and confidence.
Practical tips while waiting for the appraisal
- Adequate hydrationlimit bladder irritants (alcohol, excessive coffee).
- Do not delay urination when the desire arises.
- In case of fever, severe pain or inability to urinate, consult urgently.
Important: these tips are not a substitute for medical evaluation. Urethral stricture always requires evaluation by a specialist.
How we accompany you in GUA
At GUA Urology and Andrology we offer a confidential, close and decisive environment. We perform the complete study (uroflowmetry, ultrasound, urethrography, endoscopy), indicate the most appropriate treatment -from outpatient options to reconstructive surgery- and plan the follow-up to prevent relapses.
Make an appointment today
Take the next step towards your wellness. Schedule your assessment with our specialists in Gran Canaria:
"Your urological health deserves specialized care. We're here to help."
