Procedures

Internal Urethrotomy for Urethral Stricture

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

Preparation before an internal urethrotomy

Recommendations following an internal urethrotomy

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Dr. Marois is a urologist who is not a member of the Régie d’Assurance Maladie du Québec (RAMQ). As such, the clinic can not claim the RAMQ for the payment of his services. If you consult Dr Marois, you must pay for the services rendered.

Cancellation of appointment:

To ensure the smooth running of the clinic and a minimum of courtesy towards other patients and our staff, we ask you to notify us 48 hours in advance for the cancellation of a consultation, 5 working days in advance for a surgery at the office and 21 working days in advance for a major surgery. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur, so we ask you to provide us with at least a 24-hour notice for any change in their appointment; we will be happy to accommodate you, the best we can. However, if you fail to inform us within this timeframe or do not show up, we will charge a $ 100 fee.

Thank you for your understanding.

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Dr. Marois is a urologist who is not a member of the Régie de l’Assurance Maladie du Québec (RAMQ). As such, if you require his professional services, you will have to pay directly the Cliniques Marois for the services rendered.

Cancellation Policy:

To ensure the smooth running of the clinics aa well as a minimum of courtesy towards other patients and staff members, we ask you to notify us 48 hours in advance for cancelling an appointment, 5 working days for cancelling a minor surgery in the office and 21 working days for major surgery at the CMC. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur and schedules change, so we ask patients to give us at least a 24-hour notice for any changes of appointment. We will be happy to reschedule another one for you. Failure to provide such notice within this timeframe will result in a $ 100 fee.

Thank you for your understanding.

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