Urethral Reconstruction
Urethroplasty (Urethral Reconstruction)
Open reconstructive surgery that removes or rebuilds the scarred segment of the urethra — the most durable treatment for significant strictures.
01What is it?
Urethroplasty repairs the urethra either by removing the stricture and rejoining the healthy ends (excision and primary anastomosis) or by widening it with a graft, often using tissue from inside the cheek (buccal mucosa).
02When is treatment considered?
Recommended for recurrent, long or complex strictures, or after failed dilatation/DVIU.
03Available treatment options
Repeated dilatation or DVIU (less durable), or long-term catheter-based management in patients unfit for surgery.
04What does the procedure involve?
Under general anaesthesia through a small incision in the perineum. With graft techniques, a small patch of cheek lining may be used. A catheter remains for 2–3 weeks while healing occurs, and an X-ray check is done before removal.
05Expected recovery
Hospital stay of 1–3 days; desk work in 2–3 weeks; strenuous activity and straddling avoided for about 6 weeks.
06Common risks
Recurrence (much lower than with endoscopic methods), temporary urine leak, numbness at the cheek donor site, and infrequently changes in ejaculation, erections or continence.
07When to seek medical attention
Catheter blockage, fever, or wound problems during recovery need prompt contact with the team.
08Frequently asked questions
This website provides general educational information and is not a substitute for an individual medical consultation. Diagnosis and treatment should be based on assessment by a qualified healthcare professional.