Category Archives: Urethra



Urethroplasty surgery is an operative procedure where the urethra is reconstructed to cure problems like Urethral Stricture/ Urethral Injury. The types of surgeries are varied and depend upon the location, cause, and length of the stricture. Most surgeries take between three to six hours to complete.

urethroplasty surgery


Urethroplasty has highest success rates compared to other modalities of treatment like Internal (Optical) Urethrotomy, Urethral dilatation and Urethral stent. Buccal Mucosa has given the best results in Augmentation Urethroplasty in present time.


Technique of Urethroplasty has evolved over time and it varies with the kind of stricture. It is a complex surgery and result of procedure depends on various factors like Surgeon’s skills, Set up (operation theatre), post-operative care but trained and skilled surgeon is the most important factor in deciding the outcome. Recovery time depends a lot on the type of surgery that was performed. Typical patients will be in the hospital overnight after surgery. As soon as they can eat, walk, and care for their catheter they can leave the hospital. It is important to limit activities after Urethroplasty until adequate healing has occurred. This means no heavy lifting, strenuous exercise, or work for at least two weeks.


Different surgeries have different success rates. Generally, strictures can be resolved in more than 90 percent of cases in first attempt if done by a skilled Reconstructive Urologist.

Success rate decreases with multiple failures and treatments so the first surgery is very important for the patient. In pelvic fracture associated Urethral injury, Urethroplasty is done after an interval of 4 months post-surgery to define the extent of fibrosis.

Success rate of this kind of Urethroplasty is in the range of 85-90% if properly performed.


The follow-up after Urethroplasty is very important; this is because most Urethral Strictures recur within the first year or two after surgery.

Patients are seen every three to six months in their first year after surgery.

Urethroplasty is the best procedure for patient with Stricture Urethra and a ray of hope for those who have been suffering with repeated dilatation and endoscopic procedures over many years.

Urethroplasty can make the patient with stricture accept his life in a better way and live with respect in society.


The only Tertiary referral centre in Northern India exclusively specialized in male Urethral and Penile/ Reconstructive Surgery.

  • More than 50 Urologists across the country have referred patients with complex urological problems.
  • More than 800 Urethroplasty surgery have been performed
  • 90% success rates
  • Well trained Urologists
  • State of the Art Facilities
  • Proper follow up


Dr Gautam Banga is among the very few Urologists in India who are exclusively devoted to surgery of urethra and external genitalia.


Dr. Gautam Banga at

91-9999062316, 011-41041131,
Email :,


Urethral Stricture Best Treatment by Best Urologist

What is Urethral Stricture

Urethral Stricture Treatment is required for a condition marked by narrowing of Urethra is impacting the flow of urine out of the bladder. It is considered rare in females.


How to diagnose urethral stricture

Investigations to be done in patient with stricture:

  • Retrograde urethrogram with Micturating Cystourethrogram (RGU+MCU) to define the length and site of the stricture. This is the most important diagnostic tool in case of stricture urethra.
  • Urine examination to rule out infection
  • Ultrasound
  • Uroflowmetry to check for urine flow
  • Cystourethroscopy
  • MRI pelvis and Perineal region.
Urethral Stricture Treatment
Urethral Stricture Treatment




  • Poor urinary system.
  • Passing urine with very thin stream or passing urine in drops.
  • Need more than usual time to pass urine.
  • Sudden urge to pass urine.
  • Have to go frequently to pass urine.
  • Sense of incomplete emptying of bladder.
  • Recurrent urinary infection.
  • Retention or inability to pass urine.
  • Pus discharge from urethral meatus.
  • Abscess (urethra-cutaneous Fistula).
  • Swelling and infection in prostate (Prostatitis) or in testes (epididymorchitis)
  • Rarely flank pain while urinating.


How does urethral stricture occur


Main causing factors of stricture urethra are:

  • Infection
  • Catheter induced inflammation
  • Straddle injury to urethra
  • Pelvic bone fracture posterior urethral disruption defects(PFUDD)
  • Any previous endoscopic surgery done through urethra
  • Previously operated Hypospadias


Can we prevent urethral stricture


Yes, it can be prevented by treating urethritis, by treating sexually transmitted diseases, by using good quality catheter.


Doctor for urethral stricture treatment


Urethral stricture treatment is managed by a reconstructive Urologist who is trained and specialized in urethra and external genitalia.


Options for Urethral Stricture Treatment


Urethral Stricture Treatment depends on certain factors like site and the length of the stricture and age of the patient. This condition is not curable with medicinal/conservative treatment only. Surgical options available for treating urethral stricture are :

  • Open urethral reconstruction
  • Urethroplasty
  • Urethral Dilation
  • Urethrostomy
  • Urethral stent placement


Prevention of Urethral Stricture

It is crucial to see a urologist if you are experiencing symptoms of stricture urethra. Treating the condition right away is the best way to prevent/avoid complications. First surgery has the highest success rate.

Recurrence of Urethral Stricture

Surgery if done by trained reconstructive urologist has success rate in the range of 90-95%. Success rate decreases with repeated  surgeries(75-80%). Success rate is also on lower side if surgery is done by routine urologist.

Infections by Urethral Stricture Treatment

Yes it can cause infection to others who get in contact sexually with the patient.



To know more please contact :

Gautam Banga
at 91-9999062316, 011-41041131,
Email :