A urethral stricture is a narrowing of the urethra that can slow or obstruct the flow of urine, leading to potentially significant urinary symptoms. An internal urethrotomy is a urological procedure performed endoscopically to incise the narrowed segment of the urethra and restore a more normal urinary passage.
This procedure is performed without any external incision and is a well-established treatment option for selected urethral strictures. Our urologists evaluate each patient individually to determine whether an internal urethrotomy is the most appropriate solution based on the location, length, and severity of the stricture.
At Les Cliniques Marois, we provide timely access to care, accurate diagnosis, and specialized treatments designed to improve your urinary comfort and overall quality of life.
Where does the operation take place?
This small surgery can be done in all of Les Cliniques Marois, with a local anesthetic.
What exactly is a urethrotomy?
Dr. Marois will make an incision in the stricture (the scar tissue), with a special endoscope (urethrotome) which can be passed through the urethra.
A catheter may be left in the urethra to allow healing, while keeping the stricture open. This can be very useful for stricture of the bladder neck or urethra.
Following the procedure, there may be blood in the urine or blood leaking through the urethral meatus, as well as some discomfort. Occasionally, an infection will require antibiotic treatment.
A catheter may be left in the urethra to allow healing, while keeping the stricture open. This can be very useful for stricture of the bladder neck or urethra.
Following the procedure, there may be blood in the urine or blood leaking through the urethral meatus, as well as some discomfort. Occasionally, an infection will require antibiotic treatment.
Is there a high risk of recurrence?
Unfortunately, there is a high risk of recurrence of the stricture after internal urethrotomy.
In case of recurrence and depending on the size of the stricture, it is often preferable to perform a urethroplasty.
In case of recurrence and depending on the size of the stricture, it is often preferable to perform a urethroplasty.