Urethral Stricture & Trauma Treatment in Delhi
Advanced reconstructive urethral surgery — including Buccal Mucosa Urethroplasty and failed urethroplasty repair — by Dr. Gautam Banga at The Center for Urethra & Penile Surgery, SCI International Hospital, New Delhi.
Book Appointment
Our expert will call you within 15 mins.
15 +
Years Of Experience
5000+
Urethroplasty Surgeries
98%
Patient Satisfaction
24/7
Patient Support
Overview
What is Urethral Stricture?
The male urethra is a tubular structure about 18 cm in length that carries urine from the bladder out of the body. A urethral stricture is a narrowing of this tube caused by scar tissue, which restricts or blocks the flow of urine. If left untreated, it can lead to urinary infections, bladder damage, stone formation and, in severe cases, kidney damage.
Urethral trauma — injury to the urethra from accidents, pelvic fractures, straddle injuries or previous instrumentation — is one of the most common causes of stricture and often requires specialised reconstructive surgery for a permanent cure.
Important: Repeated dilatation or optical urethrotomy (DVIU) gives only temporary relief in most cases. For long or recurrent strictures, Urethroplasty is the gold-standard permanent treatment with success rates above 90–95% in expert hands.
Causes
What Causes Urethral Stricture & Trauma?
Injury / Trauma
Pelvic fracture, straddle injury, road accidents or direct injury to the perineum.
Catheterisation
Prolonged or traumatic catheter placement and endoscopic instrumentation.
Infections
Untreated urinary tract infections and sexually transmitted infections.
Previous Surgery
Failed hypospadias repair, failed urethroplasty or prostate surgery.
Lichen Sclerosus (BXO)
An inflammatory skin condition that can involve the urethra and cause long strictures.
Idiopathic
In many patients no clear cause is found, especially in bulbar strictures.
Symptoms
Signs & Symptoms to Watch For
- Weak or slow urinary stream
- Straining or difficulty passing urine
- Spraying or double stream of urine
- Frequent urination, especially at night
- Recurrent urinary tract infections
- Incomplete bladder emptying
- Blood in urine or semen
- Complete inability to pass urine (retention)
Diagnosis
How We Diagnose Urethral Stricture
Accurate mapping of the stricture — its exact location, length and severity — is the key to choosing the right surgery. At UPS, evaluation typically includes:
- Uroflowmetry – measures the speed and pattern of urine flow.
- Retrograde Urethrogram (RGU) & MCU – X-ray dye studies that map the stricture precisely.
- Cystoscopy – direct endoscopic visualisation of the urethra.
- Ultrasound (KUB & PVR) – checks bladder emptying and kidney health.
Treatment
Treatment Options at UPS
Why UPS
Why Choose Dr. Gautam Banga for Urethroplasty?
Exclusive Focus
Among the very few urologists in India exclusively devoted to urethra and external genitalia reconstructive surgery.
Complex & Failed Cases
Special interest in managing failed and redo urethroplasty, failed hypospadias and pelvic trauma cases.
Dedicated Centre Since 2010
Premier tertiary referral centre at SCI International Hospital, Greater Kailash-1, New Delhi.
Trusted Internationally
Patients from Nepal, Afghanistan, Nigeria, Australia, Canada, the Middle East and across India.
Dr. Gautam Banga
Consultant Andrologist & Genito-Urinary Reconstructive Surgeon
Need Help Now?
Virtual consultation available via call or WhatsApp.
- +91 99990 62316
Our Client Testimonials
Expert-led videos on urethral and penile conditions, treatment options, surgical procedures, recovery guidance, and patient care.
Frequently Asked Questions
A urethral stricture is a narrowing of the urethra caused by scar tissue. It can restrict urine flow and make it difficult to empty the bladder properly.
Common causes include injury, previous catheterisation, urinary procedures, surgery, infection or inflammation. In some patients, the exact cause may not be identified.
Symptoms may include a weak or slow urine stream, straining, difficulty starting urination, spraying of urine, incomplete bladder emptying, pain and repeated urinary infections.
It can become serious if left untreated. Severe obstruction may cause urinary retention, repeated infections, bladder damage or, in advanced cases, kidney-related complications.
Diagnosis may involve a urine-flow test, ultrasound, cystoscopy or imaging such as a retrograde urethrogram. These tests help determine the location, length and severity of the narrowing.
Selected short strictures may be treated with urethral dilation or internal urethrotomy. However, the most suitable treatment depends on the stricture’s location, length, severity and previous treatments.
Urethroplasty is reconstructive surgery used to remove or repair the narrowed urethral segment. In some cases, tissue from the inner cheek may be used to widen or reconstruct the urethra.
Yes, recurrence is possible, particularly after dilation or urethrotomy. Urethroplasty generally provides a more durable result for recurrent or complex strictures, but follow-up remains important.
Recovery depends on the procedure performed and the complexity of the stricture. Endoscopic treatments usually have a shorter recovery, while urethroplasty may require a catheter and a longer healing period.
Seek urgent care if you are completely unable to pass urine, develop severe lower abdominal pain, fever, heavy urinary bleeding or rapidly worsening symptoms. Complete urinary retention is a medical emergency.