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