Urethral Stricture — Treatment & Urethroplasty in Lucknow — Dr. Kanishk Dokania, Lucknow

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🔧 Urethral Stricture

Urethral Stricture — Treatment & Urethroplasty in Lucknow

Expert urethral stricture treatment (urethroplasty, buccal mucosal graft) by Dr. Kanishk Dokania at Charak Hospital, Lucknow. 90%+ success. Call: 0522-666-4444.

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Urethral Stricture — Overview

A urethral stricture is a narrowing of the urethra (urine passage) due to scar tissue. It progressively worsens, reducing urine flow and leading to serious complications including recurrent UTI, bladder dysfunction and kidney damage if untreated.

Causes

Trauma (straddle injury)Pelvic fracture CatheterisationGonorrhoeal infection Lichen sclerosusPrevious prostate/rectal surgery Idiopathic (unknown)

Symptoms

  • Weak, split or spraying urine stream
  • Straining or dribbling
  • Incomplete bladder emptying
  • Recurrent urinary tract infections
  • Complete urinary retention (emergency)

Treatment

OptionSuitable ForStayLong-term Success
Optical Urethrotomy (OIU)Short bulbar strictures (<1 cm)Day-care40–60% (high recurrence)
Buccal Mucosal Graft UrethroplastyLong/recurrent strictures3–5 days85–95%
Anastomotic UrethroplastyShort traumatic strictures2–3 days>95%

Frequently Asked Questions

BMG urethroplasty is the gold standard surgery for long or recurrent urethral strictures. A thin graft of mucosa from the inner cheek is harvested (the donor site heals in 5 days) and used to reconstruct the narrowed urethra. The graft is ideal because it is hairless, moist and resilient. Long-term success: 85–95% at 5 years. Hospital stay: 3–5 days; catheter for 3–4 weeks.
Diagnosis is confirmed by: urine flow rate measurement (shows reduced peak flow), retrograde urethrogram (RGU) — X-ray with contrast showing stricture location and length, and urethroscopy — direct visualisation. Ultrasound elastography can also assess stricture length. These investigations guide the choice between OIU and urethroplasty.
No — urethral dilation stretches the scar but does not remove it. Strictures recur in 50–80% of patients after dilation or internal urethrotomy within 1–2 years, and often become more severe. For definitive long-term cure, urethroplasty is the recommended treatment, especially for strictures >1 cm or those that have recurred after previous endoscopic treatment.

📍 Consult Dr. Kanishk Dokania at Charak Hospital, Lucknow

  • MBBS · MS · M.Ch (Urology) — Urologist & Kidney Transplant Surgeon
  • OPD: Monday–Saturday, 10:00 AM – 5:00 PM | Consultation Fee: ₹800
  • Institute of Urology & Kidney Transplant, Hardoi Road, near Safaid Masjid, Dubagga, Lucknow – 226003
  • 📞 0522-666-4444 | Emergency: 24×7

Consult Dr. Kanishk Dokania

🕐 OPD & Contact

Days: Monday – Saturday

Timings: 10:00 AM – 5:00 PM

Fee: ₹800

Emergency: 24×7

📞 0522-666-4444

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