Dr Sandeep Bafna

Dr Sandeep Bafna

Condition

Urethral Stricture & Reconstruction

Urethral stricture disease - bulbar, penile, panurethral, recurrent and post-traumatic - with urethroplasty and AALBEC.

A urethral stricture is a narrowing of the urethra caused by scar tissue. It restricts urine flow, leading to discomfort, infections and potentially kidney damage if left untreated. Strictures are more common in men, as their longer urethra is more susceptible to injury.

Urethroplasty

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DVIU

Endoscopic

10+

Years Experience

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Urethral Stricture & Reconstruction

Disease management

Treatment options

These are the ways this condition can be treated. The right option depends on your case - Dr. Bafna will explain it in simple words.

01

Urethral stricture disease

02

Bulbar urethral strictures

03

Penile urethral strictures

04

Panurethral strictures

05

Recurrent urethral strictures

06

Meatal stenosis / fossa navicularis strictures

07

Urethral stricture after prostate surgery

08

Urethral stricture after hypospadias repair

09

Post-traumatic urethral strictures

10

Buccal mucosal graft urethroplasty

11

Anastomotic urethroplasty

12

Augmentation urethroplasty

13

Staged urethral reconstruction

14

Complex / redo urethroplasty

15

AALBEC

Regenerative urethral repair using your own cells.

16

Optilume / drug-coated balloons

Causes / risk factors

  • Trauma or injury to the urethra (e.g., from falls, accidents or pelvic fractures)
  • Long‑term catheterization or repeated instrumentation
  • Sexually transmitted infections or chronic urethritis
  • Previous surgeries on the prostate or urethra
  • Radiation therapy and inflammatory conditions

Symptoms

  • Weak, slow or intermittent urine stream
  • Straining or prolonged time to empty the bladder
  • Pain or burning while urinating
  • Blood in the urine or dark, cloudy urine
  • Recurrent urinary tract infections and dribbling after urination

When to seek help / emergency signs

  • Inability to urinate or acute urinary retention
  • Severe lower abdominal pain or distention
  • Visible blood in the urine or clot retention
  • Fever or chills associated with urinary symptoms
  • Persistent or worsening urinary difficulties despite conservative measures

Diagnosis

Initial assessment includes urine flow studies and measurement of residual urine after voiding. Retrograde urethrogram (an X‑ray using contrast dye) or urethroscopy (using a thin camera) identifies the location and length of the stricture. Ultrasound of the urethra and bladder helps assess upstream dilation. In some cases, urodynamic studies evaluate the impact of the stricture on bladder function.

Prevention / aftercare

Use protective gear during contact sports, practise safe sex and get prompt treatment for urinary infections. Avoid unnecessary catheterisation and ensure proper lubrication if catheter insertion is needed. After surgery, follow catheter care instructions carefully and attend scheduled follow‑ups to monitor healing.

Don’t let a slow stream disrupt your life. Schedule an appointment to explore effective solutions and restore normal flow.

Watch & Learn

Videos on Urethral Stricture & Reconstruction

Dr. Sandeep Bafna explains this condition in plain language - symptoms, treatment options, and what recovery looks like.

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Common Questions

Urethral Stricture & Reconstruction - FAQs

A urethral stricture is a narrowing of the urethra caused by scar tissue. It restricts urine flow, causing weak stream, straining, spraying, dribbling, and a feeling of incomplete bladder emptying.
No. Scar tissue does not disappear without treatment. The condition usually worsens over time if untreated and may affect bladder and kidney health.
Urethroplasty is reconstructive surgery to remove or repair the scarred urethral segment. For longer strictures, buccal mucosa graft from the inner cheek is often used. It offers the most durable results for many patients.
Yes. Repeated or traumatic catheterisation can irritate the urethral lining and lead to scarring. Proper technique and avoiding unnecessary catheter use reduce this risk.
Diagnosis includes uroflowmetry, ultrasound, retrograde urethrogram (RUG), and sometimes cystoscopy. These tests locate the stricture, measure its length, and guide treatment planning.
Reconstructive urology treats urethral strictures, adult hypospadias, pelvic fracture urethral injuries, women's urethroplasty, complex genitourinary defects, penile reconstruction, and complications from prior urological surgery.

Expert Guide

Complete guide: Urethral stricture treatment in Chennai

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Learn More

Urethral Stricture: Causes, Symptoms, and Treatment

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Need Expert Care for Urethral Stricture & Reconstruction?

Schedule a consultation with Dr. Sandeep Bafna at Apollo Hospitals, Chennai for personalised treatment.

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