{"id":3083,"date":"2021-05-14T08:00:00","date_gmt":"2021-05-14T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=3083"},"modified":"2026-08-27T22:27:41","modified_gmt":"2026-08-27T15:27:41","slug":"strettoia-uretrale-uretra-stretta","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/it\/2021\/05\/14\/urethral-stricture-narrow-urethra\/","title":{"rendered":"Urethral Stricture: Why the Stream Weakens, and Why Repeat Dilatation Is Not the Answer"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=600%2C600&amp;ssl=1 600w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/drsoaraweeurology.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Soarawee Weerasopone, Urologist<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok hospital Headquarter, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">Samitivej Sriracha Hospital \u2014 Urology department: <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" style=\"color:#1b4965\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ul class=\"wp-block-social-links aligncenter has-normal-icon-size is-style-default coblocks-animate is-content-justification-center is-layout-flex wp-container-core-social-links-is-layout-3e41869c wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-wordpress wp-block-social-link\"><a href=\"https:\/\/drsoaraweeurology.com\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12.158,12.786L9.46,20.625c0.806,0.237,1.657,0.366,2.54,0.366c1.047,0,2.051-0.181,2.986-0.51 c-0.024-0.038-0.046-0.079-0.065-0.124L12.158,12.786z M3.009,12c0,3.559,2.068,6.634,5.067,8.092L3.788,8.341 C3.289,9.459,3.009,10.696,3.009,12z M18.069,11.546c0-1.112-0.399-1.881-0.741-2.48c-0.456-0.741-0.883-1.368-0.883-2.109 c0-0.826,0.627-1.596,1.51-1.596c0.04,0,0.078,0.005,0.116,0.007C16.472,3.904,14.34,3.009,12,3.009 c-3.141,0-5.904,1.612-7.512,4.052c0.211,0.007,0.41,0.011,0.579,0.011c0.94,0,2.396-0.114,2.396-0.114 C7.947,6.93,8.004,7.642,7.52,7.699c0,0-0.487,0.057-1.029,0.085l3.274,9.739l1.968-5.901l-1.401-3.838 C9.848,7.756,9.389,7.699,9.389,7.699C8.904,7.67,8.961,6.93,9.446,6.958c0,0,1.484,0.114,2.368,0.114 c0.94,0,2.397-0.114,2.397-0.114c0.485-0.028,0.542,0.684,0.057,0.741c0,0-0.488,0.057-1.029,0.085l3.249,9.665l0.897-2.996 C17.841,13.284,18.069,12.316,18.069,11.546z M19.889,7.686c0.039,0.286,0.06,0.593,0.06,0.924c0,0.912-0.171,1.938-0.684,3.22 l-2.746,7.94c2.673-1.558,4.47-4.454,4.47-7.771C20.991,10.436,20.591,8.967,19.889,7.686z M12,22C6.486,22,2,17.514,2,12 C2,6.486,6.486,2,12,2c5.514,0,10,4.486,10,10C22,17.514,17.514,22,12,22z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">WordPress<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-linkedin wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\/in\/soarawee-weerasopone\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19.7,3H4.3C3.582,3,3,3.582,3,4.3v15.4C3,20.418,3.582,21,4.3,21h15.4c0.718,0,1.3-0.582,1.3-1.3V4.3 C21,3.582,20.418,3,19.7,3z M8.339,18.338H5.667v-8.59h2.672V18.338z M7.004,8.574c-0.857,0-1.549-0.694-1.549-1.548 c0-0.855,0.691-1.548,1.549-1.548c0.854,0,1.547,0.694,1.547,1.548C8.551,7.881,7.858,8.574,7.004,8.574z M18.339,18.338h-2.669 v-4.177c0-0.996-0.017-2.278-1.387-2.278c-1.389,0-1.601,1.086-1.601,2.206v4.249h-2.667v-8.59h2.559v1.174h0.037 c0.356-0.675,1.227-1.387,2.526-1.387c2.703,0,3.203,1.779,3.203,4.092V18.338z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">LinkedIn<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-mail wp-block-social-link\"><a href=\"mailto:bhquro@bdms.co.th\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19,5H5c-1.1,0-2,.9-2,2v10c0,1.1.9,2,2,2h14c1.1,0,2-.9,2-2V7c0-1.1-.9-2-2-2zm.5,12c0,.3-.2.5-.5.5H5c-.3,0-.5-.2-.5-.5V9.8l7.5,5.6,7.5-5.6V17zm0-9.1L12,13.6,4.5,7.9V7c0-.3.2-.5.5-.5h14c.3,0,.5.2.5.5v.9z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Email<\/span><\/a><\/li><\/ul>\n\n\n\n<style>\n\/* Hover effect for Social Dr Pom Block - Social Icons *\/\n.wp-block-social-links .wp-social-link {\n  transition: transform 0.2s ease, opacity 0.2s ease !important;\n}\n.wp-block-social-links .wp-social-link:hover {\n  transform: scale(1.15);\n  opacity: 0.9;\n}\n<\/style>\n\n<div class=\"dr-pom-academic-icons\" style=\"display: flex; gap: 16px; margin-top: 12px; align-items: center; justify-content: center;\">\n  \n  <a href=\"https:\/\/www.researchgate.net\/profile\/Soarawee-Weerasopone\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ResearchGate Profile\"\n     aria-label=\"View ResearchGate Profile\"\n     style=\"text-decoration: none; color: #00CCBB; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M19.586 0c-.818 0-1.508.19-2.073.565-.563.377-.97.936-1.213 1.68a3.193 3.193 0 0 0-.112.437 8.365 8.365 0 0 0-.078.53 9 9 0 0 0-.05.727c-.01.282-.013.621-.013 1.016a31.121 31.121 0 0 0 .014 1.017 9 9 0 0 0 .05.727 7.946 7.946 0 0 0 .077.53h.001c.024.115.06.262.112.438.243.743.65 1.303 1.213 1.68.565.376 1.255.564 2.073.564.8 0 1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">A urethral stricture is a scarred, narrowed segment of the tube that carries urine out of the bladder. It affects roughly one man in a hundred and becomes considerably commoner after 65. Women are affected far more rarely.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The symptoms are unremarkable \u2014 a stream that has been getting weaker, hesitancy, straining, dribbling afterwards, sometimes repeated infections \u2014 and they look exactly like an enlarged prostate, which is why strictures are often treated as <a href=\"https:\/\/drsoaraweeurology.com\/2020\/08\/28\/benign-prostate-bph\/\">BPH<\/a> for years before anyone looks. <strong>A younger man with a poor stream, or any man with a history of catheterisation, endoscopic surgery, urethral infection or pelvic injury, deserves the stricture question asked directly.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms that need attention the same day<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">These were absent from the earlier version of this page. In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Complete inability to pass urine<\/strong> with a painful full bladder \u2014 see <a href=\"https:\/\/drsoaraweeurology.com\/2020\/10\/21\/male-urinary-retention\/\">acute urinary retention<\/a>. A stricture is one of the reasons a catheter cannot always simply be passed, which is why this needs a urologist rather than repeated attempts.<\/li>\n\n\n\n<li><strong>Fever with difficulty passing urine<\/strong>, or with pain in the perineum.<\/li>\n\n\n\n<li><strong>A tender, swollen, red area in the perineum or scrotum<\/strong> \u2014 infection can track outside the urethra and that is a surgical emergency.<\/li>\n\n\n\n<li><strong>Visible blood with clots, or a stream that has stopped abruptly rather than weakened gradually.<\/strong><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3100\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/2021\/05\/14\/urethral-stricture-narrow-urethra\/man-is-suffering-from-pain-in-urethra-he-is-screaming-because-of-that-and-covering-the-painful-place-on-the-body-with-his-hands-isolated-on-blue-background\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Poor-stream.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;10&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;Man is suffering from pain in urethra. He is screaming because of that and covering the painful place on the body with his hands. Isolated on blue background&quot;,&quot;created_timestamp&quot;:&quot;1523522457&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;35&quot;,&quot;iso&quot;:&quot;125&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;title&quot;:&quot;Man is suffering from pain in urethra. He is screaming because of that and covering the painful place on the body with his hands. Isolated on blue background.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Weak urinary stream is major presentation symptom of urethral stricture.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Weak urinary stream is major presentation symptom of urethral stricture.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Poor-stream.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Poor-stream.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Man with a weak urinary stream, the commonest presenting symptom of urethral stricture\" class=\"wp-image-3100\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Poor-stream.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Poor-stream.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Poor-stream.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Poor-stream.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Poor-stream.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">A stream that has been weakening for years \u2014 easily attributed to the prostate instead.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Where strictures come from<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>No identifiable cause<\/strong>, about a third. Commoner in younger men, and thought to represent childhood injury nobody remembers or a subtle congenital narrowing.<\/li>\n\n\n\n<li><strong>Caused by medical treatment<\/strong>, about a third \u2014 previous endoscopic surgery through the urethra, or a catheter left in for a long period. This is the group worth pausing on, because it is the preventable one: an unnecessary catheter, or one left longer than needed, can cost a man his stream years later.<\/li>\n\n\n\n<li><strong>Inflammatory<\/strong>, roughly one in six \u2014 following urethral infection, classically untreated <a href=\"https:\/\/drsoaraweeurology.com\/2021\/01\/22\/gonorrhea-infection-am-i-infected\/\">gonorrhoea<\/a>. A separate skin condition, <strong>lichen sclerosus<\/strong>, scars the opening and the front of the urethra and behaves differently from other strictures; it needs recognising because it changes what tissue can be used to repair it.<\/li>\n\n\n\n<li><strong>Traumatic<\/strong>, about one in five \u2014 a straddle injury, a pelvic fracture, or a penile fracture.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Whatever the cause, the healing response lays down scar, and scar contracts. That is why the narrowing develops slowly over months or years rather than at the time of the injury.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3091\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/2021\/05\/14\/urethral-stricture-narrow-urethra\/urethral-catheter-hold-on-blue-glove-hand-on-white-background-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Long-term-urethral-catheter.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5.6&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS Kiss X2&quot;,&quot;caption&quot;:&quot;urethral catheter hold on blue glove hand on white background&quot;,&quot;created_timestamp&quot;:&quot;1567694652&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;60&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.005&quot;,&quot;title&quot;:&quot;urethral catheter hold on blue glove hand on white background&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Long term of urethral catheterization is 1 of the urethral stricture cause.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Long term of urethral catheterization is 1 of the urethral stricture cause.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Long-term-urethral-catheter.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Long-term-urethral-catheter.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Long-term indwelling urethral catheter, a leading preventable cause of urethral stricture\" class=\"wp-image-3091\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Long-term-urethral-catheter.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Long-term-urethral-catheter.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Long-term-urethral-catheter.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Long-term-urethral-catheter.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Long-term-urethral-catheter.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">A catheter left longer than it needed to be is one of the commonest and most preventable causes.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">How it is confirmed<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A <a href=\"https:\/\/drsoaraweeurology.com\/2023\/04\/23\/uroflowmetry\/\">flow test<\/a><\/strong>, which is quick and non-invasive. The shape of the trace is informative \u2014 a stricture classically produces a long flat plateau rather than the usual bell curve.<\/li>\n\n\n\n<li><strong><a href=\"https:\/\/drsoaraweeurology.com\/2023\/12\/09\/flexible-cystoscopy\/\">Flexible cystoscopy<\/a><\/strong> to see the narrowing directly.<\/li>\n\n\n\n<li><strong>A contrast study of the urethra<\/strong>, which does the thing cystoscopy cannot: it shows <strong>how long the stricture is and exactly where it sits<\/strong>. Since length and site determine the operation, this is what turns a diagnosis into a plan.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Treatment \u2014 and the point the earlier version left out<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The earlier version listed the options with their recurrence rates and described dilatation as giving results comparable to surgery. <strong>Two corrections, and the second is the important one.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Dilatation<\/strong> \u2014 stretching the narrowed segment. Quick, minor, and around six in ten strictures are back within four years.<\/li>\n\n\n\n<li><strong>Internal urethrotomy<\/strong> \u2014 cutting the stricture endoscopically, with a blade or a laser. About half are back within four years, and the two techniques perform similarly.<\/li>\n\n\n\n<li><strong>Urethroplasty<\/strong> \u2014 open reconstruction, removing the scarred segment and rejoining the urethra, or patching it with a graft, usually taken from the inside of the cheek. Much the most durable option, and the only one that is genuinely curative.<\/li>\n\n\n\n<li><strong>Intermittent self-catheterisation<\/strong>, absent from the earlier version \u2014 passing a catheter yourself periodically to keep the channel open. Not a cure, and a reasonable arrangement for a man not suited to reconstruction.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Why repeating the simple procedure is the wrong plan<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Dilatation and urethrotomy are holding measures, not treatments<\/strong> \u2014 describing their results as comparable to surgery understates a real difference, since half to six in ten fail within four years while reconstruction largely does not.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">More importantly: <strong>if a stricture has already recurred after one endoscopic treatment, a second attempt at the same thing has a very low chance of lasting cure.<\/strong> And each cut or stretch adds scar, lengthening the diseased segment and making the eventual reconstruction harder and less likely to succeed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The practical rule this page now states plainly: <strong>a man facing a third dilatation should be having a conversation about reconstruction instead.<\/strong> Men are commonly dilated repeatedly over years without anyone offering the alternative, and by the time it is discussed the operation is more difficult than it needed to be. Urethroplasty is a bigger undertaking, and it is not reserved for strictures over a certain length \u2014 a failed endoscopic treatment is itself a reason to consider it.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3095\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/2021\/05\/14\/urethral-stricture-narrow-urethra\/medical-team-performing-operation\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Urethroplasty.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;3.5&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;Medical team performing operation. Group of surgeon at work in operating theatre&quot;,&quot;created_timestamp&quot;:&quot;1432298058&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;85&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;Medical team performing operation&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"If long urethral stricture tract is encounter, open surgery shows the best outcome.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;If long urethral stricture tract is encounter, open surgery shows the best outcome.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Urethroplasty.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Urethroplasty.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Open urethroplasty, the reconstructive operation offering durable cure of urethral stricture\" class=\"wp-image-3095\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Urethroplasty.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Urethroplasty.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Urethroplasty.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Urethroplasty.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Urethroplasty.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Reconstruction is the only genuinely curative option \u2014 and it is easier the fewer times the stricture has been cut.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">What happens if it is left<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Also absent from the earlier version, and the reason a weak stream is not something to live with indefinitely.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The bladder compensates by pushing harder, and over years that thickened, overworked muscle can lose its ability to empty \u2014 a change that does not always reverse once the stricture is fixed. Downstream of that come <strong>recurrent infections, bladder stones, retention, and eventually pressure on the kidneys<\/strong>. The stricture is easy to fix; a bladder that has given up is not.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Recurrence is possible after any treatment because the underlying process is scarring, so follow-up \u2014 a periodic flow test rather than waiting for symptoms \u2014 is part of the management rather than an optional extra.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Urethral Stricture<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What causes urethral stricture?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Scarring of the urethral wall. About a third have no identifiable cause, a third follow medical treatment such as endoscopic surgery or prolonged catheterisation, roughly one in six follow urethral infection, and about one in five follow injury \u2014 a straddle injury, pelvic fracture or penile fracture. Lichen sclerosus is a distinct skin condition affecting the opening and needs recognising separately.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">I have had a dilatation before and it has come back. Should I have another?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Probably not. A repeat endoscopic treatment after a first has failed has a very low chance of lasting cure, and each attempt adds scar, lengthening the stricture and making reconstruction harder later. A man facing a third dilatation should be discussing urethroplasty instead.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Which treatment lasts longest?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Urethroplasty, by a wide margin \u2014 it is the only genuinely curative option. Dilatation recurs in about six in ten within four years and urethrotomy in about half. Describing them as comparable to surgery, as an earlier version of this article did, understates the difference.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Could my weak stream be the prostate rather than a stricture?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It could, and the two are frequently confused because the symptoms are identical. A flow test, cystoscopy and a contrast study distinguish them. Be particularly suspicious of a stricture if you are relatively young, or have had a catheter, endoscopic surgery, a urethral infection or a pelvic injury.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What happens if I just live with it?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The bladder works harder to overcome the obstruction and can eventually lose the ability to empty, which does not always reverse after the stricture is repaired. Recurrent infections, bladder stones, retention and pressure on the kidneys follow. The stricture is easier to fix than the bladder damage it causes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Arranging a consultation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Soarawee Weerasopone sees patients at <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Bangkok Hospital Headquarters<\/a> and at Samitivej Sriracha Hospital in Chonburi on <a href=\"tel:0880221445\">088-022-1445<\/a>. Bring details of every previous dilatation or urethrotomy with dates, and any earlier flow tests or contrast studies \u2014 the number of previous treatments is one of the things that most affects what is offered next.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Samitivej Sriracha is in-person only. Enquiries about cost are answered by the hospital, not by this website.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters, and is intended for education only. It is not medical advice, diagnosis or a prescription for any individual, and no advice, diagnosis or prescription is given through personal messaging channels or social media. Dr. Soarawee operates no public social media account; any account offering private consultation in his name is fraudulent. In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/05\/14\/urethral-stricture-narrow-urethra\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2021\/05\/14\/urethral-stricture-narrow-urethra\/\",\n      \"name\": \"Urethral Stricture: Why the Stream Weakens, and Why Repeat Dilatation Is Not the Answer\",\n      \"description\": \"Urethral stricture causes, diagnosis and treatment. Dilatation and urethrotomy are palliative with high recurrence, repeated attempts compromise later reconstruction, and urethroplasty is the only curative option.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2021-05-14\",\n      \"dateModified\": \"2026-08-27\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/05\/14\/urethral-stricture-narrow-urethra\/#stricture\" },\n      \"audience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"disambiguatingDescription\": \"The earlier version described urethral dilatation as giving results comparable to surgery, which understates the difference given recurrence rates of about sixty percent for dilatation and fifty percent for urethrotomy at four years against durable cure with reconstruction. The critical counselling point was absent entirely: repeat endoscopic treatment after a first failure has a very low chance of lasting cure, and each attempt adds scar that lengthens the stricture and compromises subsequent urethroplasty, so a third dilatation should prompt discussion of reconstruction rather than repetition. Urethroplasty was framed as reserved for strictures over two centimetres; failed endoscopic treatment is itself an indication. Intermittent self-catheterisation, lichen sclerosus as a distinct inflammatory cause affecting graft choice, emergency presentations including retention and periurethral infection, and the consequences of untreated obstruction on bladder function were all absent and have been added.\"\n    },\n    {\n      \"@type\": \"MedicalCondition\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/05\/14\/urethral-stricture-narrow-urethra\/#stricture\",\n      \"name\": \"Urethral stricture\",\n      \"description\": \"Fibrotic narrowing of the urethral lumen following injury to the urethral wall, affecting approximately one percent of men with rising prevalence after age 65 and occurring rarely in women.\",\n      \"cause\": \"Idiopathic in approximately one third; iatrogenic in approximately one third, following transurethral endoscopic surgery or prolonged catheterisation; inflammatory in roughly one sixth, classically following untreated gonococcal urethritis, and including lichen sclerosus; and traumatic in approximately one fifth, from straddle injury, pelvic fracture or penile fracture.\",\n      \"signOrSymptom\": \"Progressively weakening urinary stream, hesitancy, straining, incomplete emptying, post-void dribbling, recurrent urinary infection and acute retention. Symptoms overlap completely with benign prostatic obstruction.\",\n      \"typicalTest\": {\n        \"@type\": \"MedicalTest\",\n        \"name\": \"Uroflowmetry, flexible cystoscopy and retrograde urethrography\",\n        \"description\": \"Flow study characteristically shows a prolonged plateau. Cystoscopy demonstrates the narrowing; retrograde urethrography defines length and location, which determine the reconstructive approach.\"\n      },\n      \"possibleComplication\": \"Detrusor decompensation that may not reverse after repair, recurrent urinary infection, bladder calculi, acute retention, periurethral infection and upper tract deterioration.\",\n      \"possibleTreatment\": {\n        \"@type\": \"MedicalProcedure\",\n        \"name\": \"Dilatation, internal urethrotomy, intermittent self-catheterisation, or urethroplasty\",\n        \"howPerformed\": \"Dilatation and internal urethrotomy are palliative, with recurrence in approximately sixty and fifty percent respectively at four years; repeat endoscopic treatment after failure rarely achieves durable cure and adds scar that compromises reconstruction. Urethroplasty, by excision and anastomosis or by graft augmentation typically using buccal mucosa, is the definitive option. Intermittent self-catheterisation maintains patency where reconstruction is unsuitable.\"\n      }\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/05\/14\/urethral-stricture-narrow-urethra\/#faq\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/05\/14\/urethral-stricture-narrow-urethra\/#webpage\" },\n      \"mainEntity\": [\n        {\n          \"@type\": \"Question\",\n          \"name\": \"My urethral stricture has come back after a dilatation. Should I have another?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Probably not. Repeat endoscopic treatment after a first failure has a very low chance of lasting cure, and each attempt adds scar that lengthens the stricture and makes reconstruction harder. A third dilatation should prompt discussion of urethroplasty instead.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Which urethral stricture treatment lasts longest?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Urethroplasty, by a wide margin, and it is the only genuinely curative option. Dilatation recurs in about six in ten within four years and urethrotomy in about half.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Could a weak stream be the prostate rather than a stricture?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Yes, and the two are frequently confused because the symptoms are identical. Flow testing, cystoscopy and retrograde urethrography distinguish them. Suspect stricture particularly in younger men or after catheterisation, endoscopic surgery, urethral infection or pelvic injury.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"What happens if a urethral stricture is left untreated?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"The bladder works harder and may eventually lose the ability to empty, which does not always reverse after repair. Recurrent infection, bladder stones, retention and pressure on the kidneys follow.\" }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Scar tissue narrowing the urethra. Stretching or cutting it works for a while and it comes back \u2014 and each repeat makes the definitive repair harder. When to stop repeating and reconstruct instead.<\/p>","protected":false},"author":185281453,"featured_media":10114,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Urethral stricture causes, symptoms and treatment. Why dilatation and urethrotomy are holding measures with high recurrence, and why repeated attempts compromise later reconstruction.","jetpack_seo_html_title":"Urethral Stricture: Causes, Symptoms & Treatment | Dr. Soarawee Bangkok","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1363],"tags":[1398,1397,1399],"class_list":["post-3083","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mens-health","tag-narrow-urethra","tag-urethral-stricture","tag-weak-stream"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-NJ","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Urethral-Stricture.jpg?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/posts\/3083","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/comments?post=3083"}],"version-history":[{"count":22,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/posts\/3083\/revisions"}],"predecessor-version":[{"id":11753,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/posts\/3083\/revisions\/11753"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/media\/10114"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/media?parent=3083"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/categories?post=3083"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/tags?post=3083"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}