Urethral stricture disease treatment options
There are both minimally invasive and open surgical treatment for urethral strictures.
Urethral strictures usually are first treated with an endoscopic procedure. In this minimally invasive treatment, a tiny scope is inserted into the urethra. The stricture is cut using a knife or laser attached to the scope.
Another minimally invasive technique is to pass a wire through the stricture using a flexible, then make the stricture wider by passing dilators along the wire to stretch the scar tissue.
The most effective open surgical treatment for urethral stricture disease with the best long-term results is a procedure called excision with primary anastomosis procedure (EPA). This technique involves removing the scarred section of the urethra, then stitching the urethra back together. If a large section of the urethra is removed, skin grafts are used to repair and reconnect the urethra.