Urethroplasty Surgery for Urethral Stricture
Specialized evaluation and advanced reconstructive surgery for recurrent, long, traumatic and complex urethral strictures, including Buccal Mucosa Graft and redo urethroplasty, by an experienced genito-urinary reconstructive surgeon.
Reconstructive Urology Expertise
Personalized Surgical Planning
13+ Years of Experience
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Overview
What is Urethroplasty?
Urethroplasty is reconstructive surgery performed to repair a narrowed, scarred or damaged urethra and restore a more open urinary passage. It is commonly used for urethral strictures that are long, recurrent, traumatic or unlikely to respond permanently to repeated endoscopic treatment.
A urethral stricture develops when scar tissue narrows the urethra, making it difficult for urine to pass normally. Depending on the location and length of the narrowing, urethroplasty may involve removing the scarred segment and reconnecting healthy urethra or widening the narrowed area using a graft.
Buccal Mucosa Graft Urethroplasty uses tissue taken from the inner cheek to reconstruct or widen the urethra. Oral mucosa is widely used because of its suitability for urethral reconstruction.
Important: There is no single urethroplasty technique suitable for every patient. Surgery is planned according to the location, length and cause of the stricture, previous procedures and quality of the remaining urethral tissue.
Indications
Who May Need Urethroplasty?
Recurrent Urethral Stricture
Patients whose urethral narrowing repeatedly returns after dilatation or DVIU may require definitive reconstructive surgery.
Long Urethral Stricture
Long strictures often cannot be adequately treated by simply cutting or dilating the scar and may require graft reconstruction.
Traumatic Urethral Injury
Pelvic fractures, straddle injuries and other trauma can disrupt or scar the urethra and may require reconstruction.
Failed Previous Urethroplasty
Patients with recurrent narrowing after previous open reconstruction can be evaluated for redo urethroplasty.
Lichen Sclerosus / BXO
This chronic inflammatory condition can cause long or complex urethral strictures requiring specialized reconstruction.
Failed Hypospadias Repair
Previous childhood or adult hypospadias surgery may lead to strictures, fistulae or extensive urethral scarring requiring complex reconstruction.
Symptoms
Signs & Symptoms of Urethral Stricture
- Weak or slow urinary stream
- Difficulty starting urination
- Straining to pass urine
- Spraying or splitting of urine
- Incomplete bladder emptying
- Frequent urination
- Urgency to urinate
- Recurrent urinary tract infections
Diagnosis
How We Evaluate Urethral Stricture
Accurate assessment of the location, length and severity of a stricture is essential before deciding the correct urethroplasty technique.
Evaluation may include:
- Medical & Surgical History – previous catheterisation, trauma, urethrotomy, dilatation or urethroplasty.
- Uroflowmetry – measures urinary flow rate and pattern.
- Post-Void Residual – checks how much urine remains in the bladder after urination.
- Retrograde Urethrogram (RGU) – outlines the urethra and helps identify the location and length of narrowing.
- MCU / VCUG – may be used in selected posterior or traumatic strictures.
- Cystoscopy – provides direct visualization of the urethral lumen.
- Ultrasound – evaluates the bladder, kidneys and residual urine.
- Clinical Examination – particularly important in penile strictures, lichen sclerosus and previously operated cases.
Treatment
Urethroplasty Treatment Options
Why Choose Us
Why Choose Dr. Gautam Banga for Urethroplasty?
Reconstructive Urology Expertise
Focused experience in urethral, penile and genito-urinary reconstructive surgery.
Buccal Mucosa Reconstruction
Treatment planning for long and complex strictures requiring oral mucosal graft reconstruction.
Complex & Redo Cases
Evaluation of recurrent strictures, failed urethroplasty, failed hypospadias and heavily scarred urethras.
Trauma Reconstruction
Specialized assessment of pelvic-fracture and other traumatic urethral injuries.
Dr. Gautam Banga
Consultant Andrologist & Genito-Urinary Reconstructive Surgeon
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Our Client Testimonials
Read experiences shared by patients treated by Dr. Gautam Banga for male infertility, urethral, penile and reconstructive urological conditions.
Frequently Asked Questions
Urethroplasty is reconstructive surgery performed to repair a narrowed or damaged urethra and restore an adequate passage for urine.
It may be recommended for long, recurrent, traumatic or complex urethral strictures and for patients whose strictures repeatedly return after dilatation or DVIU.
Why is cheek tissue used for urethroplasty?
Buccal mucosa has characteristics that make it useful for urethral reconstruction and is one of the most widely used graft materials when augmentation is required.
In an excision and primary anastomosis procedure, the scarred urethral segment is removed and the healthy urethral ends are joined together.
It is most suitable for selected short strictures where a tension-free connection can be achieved.
It depends on the stricture.
DVIU may be appropriate for selected short strictures, while urethroplasty is generally preferred for many long, recurrent and complex strictures because it provides definitive reconstruction.
Yes.
Urethroplasty has strong long-term outcomes, but no operation can guarantee that a stricture will never recur. Follow-up after surgery is therefore important.
Yes.
Redo urethroplasty is possible in many patients. The technique depends on the location and length of recurrence, previous grafts and quality of the remaining urethral tissue.
Yes.
Long strictures may be reconstructed using oral mucosal grafts or other specialized techniques depending on their anatomy.
Staged urethroplasty divides reconstruction into separate operations.
It may be used for selected complex anterior strictures where a safe single-stage reconstruction is not appropriate.