Urethral Stricture Treatment in Andheri, Mumbai
Urethral stricture is a condition in which scar tissue narrows the urethra and restricts the normal flow of urine. Patients may experience a weak or interrupted urine stream, difficulty starting urination, straining, incomplete bladder emptying, painful urination, or repeated urinary infections. Dr. Ashish Gupta, Urologist in Andheri East, Mumbai, carefully evaluates the location, length, and severity of the narrowing before recommending treatment.
Urethral stricture treatment in Andheri, Mumbai may include urethral dilatation, Visual Internal Urethrotomy (VIU), or urethroplasty, depending on the complexity of the condition. Dr. Ashish Gupta provides an individualised treatment plan aimed at improving urine flow, reducing discomfort, preventing complications, and lowering the risk of the stricture returning.
Meet Dr. Ashish Gupta – Expert Urologist in Andheri, Mumbai
Dr. Ashish Gupta
What is Urethral Stricture Disease?
Urethral stricture disease is a condition where the urethra — the tube that carries urine from the bladder out of the body — becomes abnormally narrowed due to scar tissue formation. This narrowing restricts the normal flow of urine, leading to a range of uncomfortable and sometimes serious urinary symptoms.
It is more common in men than women, primarily because the male urethra is significantly longer and more vulnerable to injury and inflammation. If you are searching for reliable urethral stricture treatment in Andheri, Mumbai, understanding the condition fully is the first step toward getting the right care.
What are the Signs and Symptoms of Urethral Stricture?
The most common complaint; urine takes longer to start and flows with reduced force
needing to push or bear down to pass urine
a persistent feeling that the bladder is still full after urinating
especially at night (nocturia), caused by the bladder never fully emptying
urine does not flow in a single clean stream
How Urethral Stricture Diagnosed?
Diagnosis of urethral stricture involves a straightforward sequence of investigations:
Uroflowmetry
measures the speed and pattern of urine flow; a reduced peak flow rate strongly suggests obstruction
Ultrasound with post-void residual
checks how much urine is left in the bladder after urinating
Retrograde urethrogram (RGU)
an X-ray with contrast dye injected into the urethra to precisely map the location, length, and severity of the stricture
Micturating cystourethrogram (MCU)
evaluates the posterior urethra and bladder neck
Flexible urethroscopy
direct camera examination of the urethra and stricture site
What Is Urethral Stricture Staging?
Urethral stricture does not follow cancer-like stages. It may be graded according to how narrow the urethral passage has become, along with the stricture’s location, length, cause, and effect on urine flow.
Grade 1 – Subclinical Stricture
The urethra is mildly narrowed, but the opening remains wider than 16 Fr and may not cause noticeable urinary symptoms.
Grade 2 – Low-Grade Stricture
The urethral opening measures approximately 11–15 Fr and may cause mild reduction in urine flow or occasional difficulty urinating.
Grade 3 – High-Grade Stricture
The urethral passage narrows to around 4–10 Fr, leading to a weak stream, straining, and incomplete bladder emptying.
Grade 4 – Nearly Obliterative Stricture
Only a very small opening of about 1–3 Fr remains, causing severe urinary obstruction and a high risk of urinary retention.
Grade 5 – Obliterative Stricture
The urethral passage is completely closed, preventing normal urine flow and requiring prompt specialist treatment.
Urethral Stricture Treatment in Andheri May Include
Urethral Dilatation
The narrowed urethral passage is gently widened using specialised instruments to improve urine flow and reduce urinary difficulty.
Visual Internal Urethrotomy (VIU)
An endoscopic incision is made in the scar tissue to open a short or less complex urethral stricture.
Urethroplasty
The damaged or scarred part of the urethra is surgically repaired or reconstructed for a more lasting improvement in urine flow.
Excision and Primary Anastomosis
A short, severely narrowed section is removed, and the healthy urethral ends are reconnected to restore continuity.
Buccal Mucosal Graft Urethroplasty
Tissue taken from the inner cheek is used to rebuild a longer or complex urethral narrowing.
Frequently Asked Questions About Urethral Stricture
No. A urethral stricture does not resolve without treatment. In fact, it tends to worsen progressively over time as the scar tissue matures and contracts further. Early treatment gives the best outcome and prevents complications like urinary retention and bladder damage.
The procedure itself is performed under anaesthesia, so there is no pain during surgery. Patients may experience mild discomfort or a burning sensation when passing urine in the first few days after catheter removal—this settles quickly with adequate hydration.
It depends on the length and cause of the stricture. Short, first-time strictures in the bulbar urethra respond well to VIU. However, longer, recurrent, or penile urethral strictures have a higher chance of returning. If a stricture recurs more than once after VIU, urethroplasty is strongly recommended as a more permanent solution.
This is determined by the length, location, and history of your stricture—assessed through a retrograde urethrogram and urethroscopy. Dr. Ashish Gupta will review your imaging and recommend the most appropriate procedure based on your individual anatomy and history.
Yes, a urethral stricture may recur, especially after dilatation or VIU. Regular follow-up helps detect narrowing early and determine whether further treatment is required.
The suitable treatment depends on the stricture’s location, length, severity, cause, and previous procedures. Options may include dilatation, VIU, or urethroplasty.
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