genitourinary disorders
Urethral Stricture
Treatment of Urethral Stricture
Dilation or internal urethrotomy Self-catheterization Open urethroplasty Treatment is determined by the type of urethral obstruction. Often, dilation or endoscopy (internal urethrotomy) is done. However, with certain types of strictures (eg, complicated strictures, such as very long or recurrent strictures or strictures that persist despite initial treatments), dilation and endoscopy should be avoided; daily self-catheterization may be indicated. Open urethroplasty may be indicated if the stricture is localized and causes recurrent problems. This surgery often involves the use of oral mucosal graft or use of non–hair-bearing skin graft. 