St. Joseph Hospital of Orange
1100 West Stewart Dr, Orange, CA 92868714.633.9111
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Minimally Invasive Urology & Stone Center
Minimally Invasive Urology & Stone Center
Bladder Cancer
Intravesical Therapy
Transurethral Resection
Female Urinary Incontinence
Diagnosis
Non-Surgical Treatment
Invasive Treatment
Surgical Treatment
Hematuria
Diagnosis
Treatment
Kidney & Ureteral Stones
Diagnosis
Non-Surgical Treatment
Surgical Treatment
Men's Health
Enlarged Prostate
Erectile Dysfunction
Prostate Cancer
Urethral Stricture
Diagnosis
Non-Surgical Treatment
Surgical Treatment

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Treatment

Since urethral strictures have a tendency to recur, the type of treatment you receive and the long-term outcomes are something your doctor will discuss with you. There are no urethral stricture treatment options using oral medication alone.

Surgical treatment

Urethrotomy
Using a narrow, tube-like instrument called a cystoscope, your doctor will look inside your urethra until the stricture is found. Your doctor will then use either a knife or operating laser to cut or vaporize the stricture. A catheter may be placed in the urethra until it has healed. This method is ideal for initial stricture treatment, however, recurrent urethral stricture should be formally assessed for possible urethroplasty.

Urethral reconstruction/Urethroplasty
The most definitive way to treat urethral strictures is with open reconstructive urethral surgery such as urethroplasty. Here, the diseased urethra is reconstructed with healthy tissue such as penile skin or the lining of the cheek (buccal graft). This is much more involved than dilation or incision, and requires a short hospital stay of approximately one day and catheterization for at least a week. However, urethral reconstruction is a far more definitive treatment than the other options available with recurrence rates typically less than 10 percent.