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Treatments and Surgery

Once a stricture develops inside your urethral passage, it doesn’t tend to go away easily. Urethral stricture medications are not recommended as a primary form of treatment because they merely manage symptoms related to pain and inflammation but do not correct the cause of the stricture.

For this reason, surgical procedures are the most effective form of treatment for urethral stricture.


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How To Know if Urethral Stricture Surgery Is Right for You

Since no other form of treatment really provides a solution to a urethral stricture, a surgical procedure is the next step. If you respond positively to the following, you’ll need to be treated for a urethral stricture by your Atlanta urologist.

  • Stones inside your bladder – This is serious and it is necessary that a surgical procedure is performed as soon as possible.
  • Difficulty urinating including pain or straining, a weak stream and the inability to urinate at times
  • Recurrent infections inside the urinary tract
  • Increasing amounts of urine remaining inside the bladder after you urinate
  • All other methods have failed to alleviate your pain and problematic symptoms

If you are suffering from any of the circumstances mentioned above, you have likely begun researching treatments online with queries like “urethral stricture surgery near me” or “urologist near me.” Advanced Urology in Atlanta is here to help. Call us today at 678-344-8900 to learn more about treatment options and make an appointment.


The Most Effective Surgical Treatments for Urethral Stricture in Atlanta

These are several surgical options that can alleviate your painful symptoms and get you on the road to recovery:

Urethral Dilation

Urethral dilation is a surgical technique which can be done under general or local anesthesia. As the name sounds, the procedure manually widens your constricted urethra. Thin rods with increasing diameters are carefully inserted into the urethral opening. You may need revisional treatment from time to time to ensure the strictures don’t come back again. Urethral dilation, however, does pose a risk of making the stricture worse over time.

Direct Vision Internal Urethrotomy

DVIU, or Direct Vision Internal Urethrotomy, is an endoscopic procedure. An endoscope, which is a thin tube with a camera attached is inserted inside the urethra to get an image of the stricture. Once the stricture has been visualized, a tiny knife with is passed through the endoscope to open up the stricture and to cut it lengthwise. A catheter is then inserted into the urethra and remains there for a few days to promote healing. While effective, there is a risk of some of complications related to DVIU including UTI and bleeding.


Urethroplasty is an open surgical treatment that removes the stricture or scar and the reconnects the urethra. After your urethral stricture has been cleared, your surgeon will insert a catheter into your urethra to allow it to heal as you recover.