{"id":5586,"date":"2025-10-17T06:41:46","date_gmt":"2025-10-17T05:41:46","guid":{"rendered":"https:\/\/www.benarroche-urologie.fr\/urethral-stricture-surgery\/"},"modified":"2026-01-20T17:50:36","modified_gmt":"2026-01-20T16:50:36","slug":"urethral-stricture-surgery","status":"publish","type":"page","link":"https:\/\/www.benarroche-urologie.fr\/en\/expertise\/urethral-stricture-surgery\/","title":{"rendered":"Urethral stricture surgery"},"content":{"rendered":"\t\t
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Urethral stricture surgery<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tHome \/ <\/a>Urethral stricture surgery\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Urethral stricture surgery<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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What is a urethral stricture?<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Urethral stricture is a narrowing of the urinary canal<\/strong> , which prevents urine from flowing normally from the bladder.<\/p>

It can occur after<\/strong> :<\/p>

\u26a0\ufe0f trauma<\/strong> (fall on the perineum, urinary catheter, previous intervention),<\/p>

\u26a0\ufe0f an old urethral infection<\/strong> ,<\/p>

\u26a0\ufe0for more rarely in an inflammatory or congenital<\/strong> context.<\/p>

Symptoms are often progressive: reduced urinary flow<\/strong> , need to urinate more frequently, sensation of incomplete emptying, or even acute retention<\/strong> when the urethra is completely obstructed.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Diagnosis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The diagnosis is based on<\/strong> :<\/p>

\u2705 the interrogation and clinical examination<\/strong> ,<\/p>

\u2705a retrograde and micturition urethrography<\/strong> (X-ray with contrast product),<\/p>

\u2705 and a urethroscopy<\/strong> to visualize the stenosis.<\/p>

These tests make it possible to determine the location, length and degree<\/strong> of obstruction<\/strong> , which are essential for planning the therapeutic strategy.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Treatment options<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Treatment depends on the length of the stenosis<\/strong> , its location<\/strong> and its age<\/strong> .
There are two main approaches: endoscopic<\/strong> urethrotomy<\/strong> and urethroplasty<\/strong> .<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Endoscopic urethrotomy: a temporary or palliative treatment<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Endoscopic urethrotomy involves cutting the stricture from the inside<\/strong> using an endoscope inserted into the urethra.
This technique, performed under anesthesia, is simple and minimally invasive<\/strong> , but it only treats the visible narrowing<\/strong> without correcting the underlying scarring.<\/p>

It is sometimes indicated for very short, partial and non-recurrent stenoses<\/strong> .<\/p>

\u26a0\ufe0fHowever, in the majority of cases, the stenosis recurs within months<\/strong> , with an estimated failure rate of between 60 and 80<\/strong> % in the medium term.<\/p>

\u26a0\ufe0f Repeated dilations or successive urethrotomies generally do not provide any lasting cure<\/strong> and may even worsen local fibrosis.<\/p>

\ud83d\udcccThus, endoscopic urethrotomy should be considered as a transitional treatment<\/strong> , or as a first assessment procedure before definitive reconstruction.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Urethroplasty: the standard curative treatment<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Urethroplasty<\/strong> is reconstructive surgery<\/strong> of the urethra. It involves removing or reconstructing the narrowed area<\/strong> to restore normal caliber and sustained flow.
Depending on the case: <\/p>

\ud83d\udca1 Resection-anastomosis<\/strong> : the diseased segment is removed and the two healthy ends are sutured.<\/p>

\ud83d\udca1Urethroplasty with buccal mucosa graft<\/strong> : The cheek mucosa is taken and used to widen the narrowed area.<\/p>

\u2705 These techniques achieve success rates of over 85\u201390%<\/strong> , with a lasting return to normal flow<\/strong> and restored quality of life<\/strong> .<\/p>

\u2705 Urethroplasty is therefore the only treatment allowing a complete cure<\/strong> in cases of extensive, complete or recurrent<\/strong> stenosis.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Procedure and postoperative course<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u2731 The procedure is performed under general anesthesia<\/strong> .<\/p>

\u2731 A urinary catheter<\/strong> is left in place for a few days to a few weeks depending on the technique.<\/p>

\u2731 Regular post-operative monitoring<\/strong> is essential to monitor healing and prevent any recurrence.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Results<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\ud83d\udca1 In the vast majority of cases, patients regain a powerful and continuous urinary stream<\/strong> , without residual discomfort.
Complications are rare and return to activities is rapid.
Specialized monitoring<\/strong> helps ensure that the results are maintained over the long term.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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The expertise of Dr. Davy Benarroche<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Dr. Davy Benarroche<\/strong> , urological and andrological surgeon, holds the IUD in<\/strong> urethral surgery<\/strong> .
He performs all treatments for urethral strictures, procedures
from simple endoscopic to complex reconstructions with oral mucosa grafting.
His expertise allows him to offer personalized care, in accordance with the latest reconstructive surgery recommendations<\/strong> .<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Expertise<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Urethral stenosis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Dr. Benarroche supports patients with urethral stricture with personalized treatments, combining diagnostic expertise and surgical or endoscopic solutions depending on the complexity of the case.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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FAQ \u2013 Frequently Asked Questions<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Can a stenosis heal spontaneously? <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/i><\/span>\n\t\t\t<\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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No. A urethral stricture is a permanent fibrous scar. Only surgery can restore normal caliber. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t

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Is urethrotomy always sufficient? <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/i><\/span>\n\t\t\t<\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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No. Urethrotomy is often followed by recurrence. In cases of complete, long, or recurrent stricture, urethroplasty should be considered. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t

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Is oral mucosa grafting painful? <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/i><\/span>\n\t\t\t<\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Oral discomfort is moderate and transient, with rapid healing within a few days.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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In summary<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Urethral stricture<\/strong> is a scarring condition that does not heal spontaneously.
Although endoscopic urethrotomy can sometimes provide temporary relief, urethroplasty<\/strong> remains the standard treatment<\/strong> , the only one capable of providing lasting healing<\/strong> .<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Experience<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Academic background<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Dr. Benarroche offers a male-focused approach to care, combining medical and surgical approaches, adapted to the needs of each patient.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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<\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Expert in urethral reconstruction.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Contact me today for a personalized consultation<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tmake an appointment <\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Urethral stricture surgery Urethral stricture surgery What is a urethral stricture? Urethral stricture is a narrowing of the urinary canal , which prevents urine from flowing normally from the bladder. It can occur after : \u26a0\ufe0f trauma (fall on the perineum, urinary catheter, previous intervention), \u26a0\ufe0f an old urethral infection , \u26a0\ufe0for more rarely in […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":5619,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-5586","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/5586","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/comments?post=5586"}],"version-history":[{"count":2,"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/5586\/revisions"}],"predecessor-version":[{"id":7740,"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/5586\/revisions\/7740"}],"up":[{"embeddable":true,"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/5619"}],"wp:attachment":[{"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/media?parent=5586"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}