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The urethra is the conduct through which urine is eliminated from the bladder. Urethral stricture is an abnormal narrowing of the prostate. It can be caused by the presence or inflammation of scare tissues as a consequence of a surgery, disease or injury or the pressure of a growing tumour placed near the urethra.
Urethral stricture symptoms include urinary retention or incontinence, spraying of urine stream, slow urine flow, painful urination, hematuria, appearance of blood in the semen, lower abdomen or pelvic pain and swelling of the penis.
If complications are not examined by an urologist and treated, urethral stricture can block the urine flow, causing acute urinary retention.


Urethral stricture requires surgical treatment in most cases. Urethral dilatation methods are discouraged nowadays and only advised for very specific cases. Surgical treatment will depend on the stricture extension and placement.
If the stricture is short and not located near the urinary sphincter, options include cutting the stricture or inserting a dilating device. An open urethroplasty may be performed for prolonged strictures. In many occasions, a flap is required to provide tissues so the stricture is wide open. The graft may be collected from many areas; oral mucosa is the most frequent.
The affected body part is removed and reconstructed. The operation’s success will depend on the location and size of the stricture, the number of times a surgery has been performed and the surgeon’s experience. Surgery resources are essential for this intervention.

Blog del Dr. Romero-Otero

Surgery in Korea

High-level surgery in Korea: Part I

The program will include the implantation of penile prosthesis to treat several conditions. From the 8th to the 18th of January, I will be heading and organizing several activities in collaboration with Coloplast in some of the reference hospitals in Seoul and other important cities of South Korea. The program will include the implantation ofpenile […]
High-level surgery

High-level surgery in Seoul: Part II

We keep working hard in other parts of the world. We are currently working in Seoul. In this city, we are sharing new chirurgical challenges withsurgeons from many countries to treat several pathologies so Peyronie: Peyronie’s disease, penile prostheses, masculine incontinence, vasectomy, prostatic surgery and urethral stricture. The jet-lag has been affecting me for a […]

Is the end of vasectomy coming?

Recently, there has been a relentless colloquium related to new contraceptive techniques for men in round-table discussions celebrated in Korea. We asked ourselves if the end of vasectomy was coming, as we know it nowadays. There are two contrasted methods for contraception in men: barrier methods (preservatives) and vasectomy. Other ways, such as hormonal treatments, […]