Urethral Stricture

Request Appointment

Urethral Stricture Treatment in Metro Atlanta

Urethral stricture is a medical condition characterized by the narrowing or blockage of the urethra, which is the tube that carries urine from the bladder to the outside of the body. This narrowing or constriction can occur at any point along the urethra and can lead to various urinary problems.

Symptoms

Symptoms of urethral stricture can vary depending on the severity of the condition but may include:

  • Difficulty starting urination
  • Weak urine flow or a decreased urine stream
  • Frequent urination
  • Urgency to urinate
  • Incomplete emptying of the bladder
  • Pain or discomfort during urination (dysuria)
  • Blood in the urine (hematuria)
  • Urinary tract infections (UTIs)
  • Urinary retention (inability to urinate).

Risk Factors

Several factors can increase the risk of developing urethral stricture, including:

  • Previous urethral trauma or injury, such as from a straddle injury or catheterization
  • Previous urethral surgery or procedures
  • Chronic inflammation or infections of the urethra
  • Sexually transmitted infections, such as gonorrhea or chlamydia
  • Aging, as the tissues in the urethra may become less elastic over time
  • Certain medical conditions, such as lichen sclerosus or urethral cancer.

Prevention

Prevention strategies for urethral stricture involve minimizing the risk factors where possible. Some measures include:

  • Practicing safe sex to reduce the risk of sexually transmitted infections
  • Avoiding behaviors that may cause urethral trauma, such as straddle injuries or rough sexual practices
  • Following proper hygiene and avoiding harsh soaps or chemicals that can irritate the urethra
  • Treating urinary tract infections promptly to prevent complications
  • Seeking prompt medical attention for any urethral symptoms or issues.

Treatments

Treatment options for urethral stricture depend on the severity of the condition and the individual’s overall health. Mild cases may be managed with watchful waiting and lifestyle modifications, such as avoiding triggers that worsen symptoms. However, more significant strictures usually require medical intervention. Common treatment approaches include:

  • Dilation: This involves the gradual stretching of the narrowed area using progressively larger dilators to widen the urethra.  This also may be accomplished using a balloon. Optilume is a breakthrough urethral drug-coated balloon treatment that dilates the urethral lumen and delivers paclitaxel directly to the stricture, significantly reducing the chance of stricture recurrence. 
  • Urethral stent: A stent is a small mesh-like tube inserted into the urethra to keep it open and maintain urine flow.
  • Urethroplasty: This surgical procedure involves removing the strictured part of the urethra and reconstructing it using healthy tissue or grafts.
  • Endoscopic treatments: Techniques such as urethrotomy or laser ablation may be used to directly remove or break up the stricture using specialized instruments inserted through the urethra.
  • Self-catheterization: In some cases, intermittent self-catheterization may be necessary to drain urine and prevent urinary retention.

The choice of treatment depends on various factors, including the location, length, and complexity of the stricture, as well as the overall health and preferences of the individual. It’s important to consult with a healthcare professional to determine the most appropriate treatment approach. Call our office to schedule an appointment at (678) 321-7227.

We Look Forward to Meeting You!

Our office is easily accessible via GA 400 and Hwy 20.

Request Appointment

Request Appointment