Internal Urethrotomy for Urethral Stricture


Internal Urethrotomy for Urethral Stricture

Approximate time15 min

An internal urethrotomy involves making an incision in the scar tissue, causing the narrowing of the urethra, using a specialized instrument or a laser.


Where does the operation take place?

This small surgery can be done in all of Les Cliniques Marois, with a local anesthetic.

What exactly is a urethrotomy?

Dr. Marois will make an incision in the stricture (the scar tissue), with a special endoscope (urethrotome) which can be passed through the urethra.

A catheter may be left in the urethra to allow healing, while keeping the stricture open. This can be very useful for stricture of the bladder neck or urethra.

Following the procedure, there may be blood in the urine or blood leaking through the urethral meatus, as well as some discomfort. Occasionally, an infection will require antibiotic treatment.

Is there a high risk of recurrence?

Unfortunately, there is a high risk of recurrence of the stricture after internal urethrotomy.

In case of recurrence and depending on the size of the stricture, it is often preferable to perform a urethroplasty.

What are the other possible treatments, at Les Cliniques Marois?

Meatotomy or meatoplasty

Optilume treatment for urethral stricture

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Post-operative Recommendations for Internal Urethrotomy for Urethral Stricture

Recovery in terms of time before you can resume your usual activities is generally quick. Sexual relations are permitted one week after surgery

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