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Treating Urethral Strictures

There are several options for treatment of urethral stricture disease. The type of procedure your doctor selects depends upon the length, location, and extent of scar tissue associated with the stricture.

Treatment options include:
  • Enlarging the narrowing by dilations
  • Cutting the stricture through a scope with a knife (urethrotomy)
  • Surgical removal (excision) of the diseased segment with reconnection and reconstruction possibly with flaps or grafts (substitution)

Current research shows that dilations and/or urethrotomies are not durable procedures, meaning that failure rates are high for these endoscopic procedures.  Many times, strictures will come back with longer lengths and more dense scarring.

Urethroplasty – High Cure Rates and Benefits for Patients

Urethroplasty is the surgical excision (removal) of the urethral stricture. Research also shows that urethroplasty has excellent cure rates. Reconstructive urologists use various techniques including penile skin flaps and extra-genital skin (skin lining inside of the mouth) grafts in urethroplasty.

For patients with recurrent urethral stricture disease, urethroplasty is often the treatment of choice. Urethroplasty is a surgical procedure most often performed by a reconstructive urologist that repairs the scarred urethra to restore normal urine flow.

 

Meet Our Reconstructive Urologist

Mark G. Bowles, M.D.

Mark G. Bowles

M.D.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, General Urology, Kidney Stones, Overactive Bladder (OAB), Prostate Cancer, Urethral Stricture Disease, UroLift, Vasectomy

Stuart A. Chasan, M.D., F.A.C.S.

Stuart A. Chasan

M.D., F.A.C.S.

3D Ultrasound/MRI Fusion Prostate Cancer Biopsy, Adult circumcision, Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Extra Corporeal Shock Wave Lithotripsy (ESWL), General Urology, Greenlight Laser Therapy, InterStim Neuromodulation Therapy for OAB, Kidney Stones, Male and Female Voiding Dysfunction More...

Walter William Chiles, M.D., F.A.C.S.

Walter William Chiles

M.D., F.A.C.S.

Female Incontinence, General Urology, InterStim Neuromodulation Therapy for OAB, Kidney Stones, Laser prostatectomy, Rezum Therapy for BPH, Robotic Prostatectomy, UroLift, Vasectomy, Xiaflex® for Peyronies disease

Lee Congleton, III, M.D., F.AC.S.

Lee Congleton, III

M.D., F.AC.S.

Artificial sphincter, Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Cryosurgery for Prostate Cancer, Erectile Dysfunction, Female Incontinence, Female urinary incontinence, General Urology, Hematuria, Kidney Stones More...

Fran Do, PA-C

Fran Do

PA-C

Kristin Kirk-Hostetler, PT, DPT

Kristin Kirk-Hostetler

PT, DPT

Chronic Pelvic Pain, Pelvic Health Physical Therapy, Urinary Incontinence

Emma Latimore, PA-C

Emma Latimore

PA-C

General Urology

Timothy J. LeRoy, M.D., F.A.C.S.

Timothy J. LeRoy

M.D., F.A.C.S.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, Female Pelvic Health, InterStim Neuromodulation Therapy for OAB, Kidney Stones, Low Testosterone, Male Sexual Health, Peyronie's Disease, Prostate Cancer More...

Garrett H. Lischer, M.D., F.A.C.S.

Garrett H. Lischer

M.D., F.A.C.S.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, Female Incontinence, Kidney Stones, Low Testosterone, Male Incontinence, Male Sexual Dysfunction, Overactive Bladder (OAB), Penile Prosthesis More...

Heather Miller, FNP

Heather Miller

FNP

General Urology

Brian Parker, M.D., F.A.C.S.

Brian Parker

M.D., F.A.C.S.

Artificial sphincter, Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, Female Pelvic Health, General Urology, Hematuria, Interstitial Cystitis, Kidney Stones, Low Testosterone More...

Christopher E. Ramsey, M.D., F.A.C.S.

Christopher E. Ramsey

M.D., F.A.C.S.

Bladder Cancer, General Urology, Hematuria, Kidney Stones, Prostate Cancer, Robotic Prostatectomy, Robotic surgery, UroLift, Vasectomy

Peter D. Sershon, MD, FACS

Peter D. Sershon

MD, FACS

3D Ultrasound/MRI Fusion Prostate Cancer Biopsy, Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Kidney Cancer, Kidney Stones, Prostate Cancer, Robotic surgery, UroLift Treatment for BPH, Vasectomy

Arlene Shaw, MS, RN, AGNP-C

Arlene Shaw

MS, RN, AGNP-C

Benign Prostatic Hyperplasia/BPH, General Urology, Prostate Cancer

T. Preston Shepherd, M.D., F.A.C.S.

T. Preston Shepherd

M.D., F.A.C.S.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, Kidney Stones, Low Testosterone, Peyronie's Disease, Prostate Cancer, Urethral Stricture Disease, Urinary Incontinence

Autumn B. Synowiez, OTR/L

Autumn B. Synowiez

OTR/L

Pelvic Health Therapy, Perineal Pain, Urinary Incontinence

Rachel Vann, MSN, RN, NP-C

Rachel Vann

MSN, RN, NP-C

Prostate Cancer

Sylvia Waters, RN

Sylvia Waters

RN

Prostate Cancer

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Appointments & Information

*If this is an emergency, please call 911 immediately.

Please provide your email address and phone number and a Tennessee Urology representative will contact you shortly to assist with your question or issue.

Monday–Friday, 8:30 a.m. to 4:30 p.m.

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