{"id":3083,"date":"2021-05-14T08:00:00","date_gmt":"2021-05-14T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=3083"},"modified":"2026-05-18T09:57:31","modified_gmt":"2026-05-18T02:57:31","slug":"urethral-stricture-%e1%9e%85%e1%9e%84%e1%9f%92%e1%9e%a2%e1%9f%80%e1%9e%8f-%e1%9e%94%e1%9e%84%e1%9f%92%e1%9e%a0%e1%9e%bd%e1%9e%9a%e1%9e%93%e1%9f%84%e1%9e%98","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/km\/2021\/05\/14\/urethral-stricture-narrow-urethra\/","title":{"rendered":"\u1787\u1798\u17d2\u1784\u17ba\u178f\u17d2\u1794\u17c0\u178f\u179a\u1793\u17d2\u1792\u1794\u1784\u17d2\u17a0\u17bd\u179a\u1793\u17c4\u1798\n\u1780\u17b6\u179a\u179f\u17d2\u1796\u17c0\u178f\u1797\u17d2\u1793\u17b6\u179f\u17cb\u179f\u17b6\u1785\u17cb\u1780\u17d2\u1793\u17bb\u1784\u179a\u1793\u17d2\u1792\u1794\u1784\u17d2\u17a0\u17bd\u179a\u1793\u17c4\u1798"},"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\/km\/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\" 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  <\/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\">Urethral stricture is a common presentation at my urology office, defined as a narrowing of a segment of the urethra. US data reports a 0.9% incidence in men, with dramatically increasing prevalence after age 65.<\/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<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3091\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/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=\"Urethral catheterization stricture cause\" 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\">Long-term urethral catheterization is one of the known causes of urethral stricture.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">The 4 major causes of urethral stricture<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Idiopathic<\/strong> (33% incidence) \u2014 more common in younger males; likely represents unrecognized childhood trauma or congenital anomaly<\/li>\n\n\n<li><strong>Iatrogenic<\/strong> (33% incidence) \u2014 history of transurethral endoscopic surgery or long-term indwelling urethral catheter<\/li>\n\n\n<li><strong>Inflammatory<\/strong> (15% incidence) \u2014 history of urethral infection, particularly sexually transmitted diseases (STDs)<\/li>\n\n\n<li><strong>Traumatic<\/strong> (19% incidence) \u2014 blunt straddle injury, pelvic fracture, or penile fracture<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"632\" data-attachment-id=\"3092\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/2021\/05\/14\/urethral-stricture-narrow-urethra\/human-hip-bone-anterior-view-3d-medical-and-biomedical-illustration-healthcare-human-anatomy-and-medical-concept-isolated-on-white-background\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pelvic-fracture.jpg?fit=1200%2C948&amp;ssl=1\" data-orig-size=\"1200,948\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;11&quot;,&quot;credit&quot;:&quot;Kajonsak Intarapong&quot;,&quot;camera&quot;:&quot;NIKON D800&quot;,&quot;caption&quot;:&quot;Human hip bone anterior view- 3D Medical and Biomedical illustration- Healthcare- Human Anatomy and Medical Concept-Isolated on white background.&quot;,&quot;created_timestamp&quot;:&quot;1508603579&quot;,&quot;copyright&quot;:&quot;FATDOG PHOTOGRAPHY&quot;,&quot;focal_length&quot;:&quot;200&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.0125&quot;,&quot;title&quot;:&quot;Human hip bone anterior view- 3D Medical and Biomedical illustration- Healthcare- Human Anatomy and Medical Concept-Isolated on white background.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Urethral stricture can be the consequence after traumatic pelvic fracture.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Urethral stricture can be the consequence after traumatic pelvic fracture.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pelvic-fracture.jpg?fit=800%2C632&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pelvic-fracture.jpg?resize=800%2C632&#038;ssl=1\" alt=\"Pelvic fracture urethral stricture\" class=\"wp-image-3092\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pelvic-fracture.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pelvic-fracture.jpg?resize=300%2C237&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pelvic-fracture.jpg?resize=1024%2C809&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pelvic-fracture.jpg?resize=768%2C607&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pelvic-fracture.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Traumatic pelvic fracture is a recognized cause of posterior urethral stricture.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Regardless of the cause, urethral damage triggers scar formation that gradually narrows the urethral canal over weeks, months, or years. Patients typically present with weak urinary stream or discomfort during urination. Evaluation involves flexible cystoscopy as first-line visualization, followed by retrograde urethrography (contrast study) if needed to define the stricture length and location.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3100\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/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=\"Urethral stricture weak urine stream\" 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\">Weak urinary stream is the major presenting symptom of urethral stricture.<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3090\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/2021\/05\/14\/urethral-stricture-narrow-urethra\/glowing-fiber-optic-cable-information-flows-by-wire-the-concept-of-technology-and-information-transfer-3d-illustration\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Laser-technology.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" 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;Glowing fiber optic cable. Information flows by wire. The concept of technology and information transfer 3d illustration&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;Glowing fiber optic cable. Information flows by wire. The concept of technology and information transfer 3d illustration&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Advance laser technology can be used in urethral stricture treatment.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Advance laser technology can be used in urethral stricture treatment.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Laser-technology.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Laser-technology.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Laser urethrotomy stricture\" class=\"wp-image-3090\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Laser-technology.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Laser-technology.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Laser-technology.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Laser-technology.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Laser-technology.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Advanced laser technology can be used in urethral stricture treatment.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26941491\/\">Treatment options<\/a> for urethral stricture<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Urethral dilation<\/strong> \u2014 serial dilation with metallic dilator; comparable results to surgery but 60% recurrence rate at 48 months follow-up<\/li>\n\n\n<li><strong>Direct vision cold knife urethrotomy<\/strong> \u2014 endoscopic incision of the stricture under direct vision; 50% recurrence rate at 48 months<\/li>\n\n\n<li><strong>Direct vision laser urethrotomy<\/strong> \u2014 same approach as cold knife but using laser technology; comparable outcomes<\/li>\n\n\n<li><strong>Urethroplasty<\/strong> \u2014 gold standard for strictures longer than 2 cm; highest long-term success rate of all treatment options<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3095\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/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=\"Urethroplasty open surgery 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\">For long urethral strictures, open urethroplasty provides the best long-term outcomes.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Since urethral stricture involves natural scar formation, recurrence is always possible regardless of treatment. Regular follow-up and early detection of recurrence are essential components of long-term management. Treatment choice depends on stricture length, location, etiology, and patient factors.<\/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\">Urethral stricture develops from scarring of the urethral wall following tissue damage. The four major causes are: idiopathic (33%) \u2014 often related to unrecognized childhood trauma or congenital anomaly; iatrogenic (33%) \u2014 from transurethral surgery or long-term catheterization; inflammatory (15%) \u2014 from urethral infection or sexually transmitted diseases; and traumatic (19%) \u2014 from pelvic fracture, straddle injury, or penile fracture. Regardless of cause, the resulting scar tissue gradually narrows the urethral lumen over weeks to months.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What is the best treatment for urethral stricture?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Treatment selection depends on stricture length and location. For short strictures, options include urethral dilation (60% recurrence at 4 years) or direct vision urethrotomy (cold knife or laser, 50% recurrence at 4 years). For strictures longer than 2 cm, urethroplasty (open surgical reconstruction) is the gold standard, offering the highest long-term success rate. Since all treatments carry a risk of recurrence due to the body&#8217;s natural scarring process, regular urological follow-up is essential after any treatment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What symptoms suggest urethral stricture?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The most common symptom is a progressively weakening urinary stream. Other symptoms may include urinary hesitancy, incomplete bladder emptying (post-void dribbling), straining to urinate, discomfort during urination, recurrent urinary tract infections, and in severe cases, acute urinary retention. If you have a history of pelvic trauma, STDs, prior catheterization, or endoscopic urological surgery and notice changes in your urinary stream, prompt urological evaluation is important.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you are experiencing urinary symptoms that may be caused by urethral stricture, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Book a Consultation<\/a>.<\/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. It is intended for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What causes urethral stricture?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Scarring from urethral damage. 4 causes: Idiopathic 33% (unrecognized childhood trauma\/congenital), Iatrogenic 33% (endoscopic surgery\/catheterization), Inflammatory 15% (STD\/infection), Traumatic 19% (pelvic fracture\/straddle injury\/penile fracture).\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What is the best treatment for urethral stricture?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Depends on length: short strictures \u2014 urethral dilation (60% recurrence at 4 yrs) or urethrotomy (50% recurrence). Strictures >2 cm \u2014 urethroplasty is gold standard with highest long-term success. Regular follow-up essential due to recurrence risk.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What symptoms suggest urethral stricture?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Weak\/progressive urinary stream, hesitancy, incomplete emptying, post-void dribbling, straining, discomfort urinating, recurrent UTIs, or acute urinary retention. Risk factors: pelvic trauma, STDs, prior catheterization, or endoscopic urological surgery.\"\n      }\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Urethral stricture is a common presentation at my urology office, defined as a narrowing of a segment of the urethra. US data reports a 0.9% incidence in men, with dramatically increasing prevalence after age 65. The 4 major causes of urethral stricture Regardless of the cause, urethral damage triggers scar formation that gradually narrows the [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10114,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Urethral stricture: 4 major causes (idiopathic, iatrogenic, inflammatory, traumatic), symptoms, diagnosis, and treatment options including dilation, urethrotomy, and urethroplasty.","jetpack_seo_html_title":"Urethral Stricture: Causes, Symptoms & Treatment | Dr. Soarawee Bangkok","jetpack_seo_noindex":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","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_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Urethral-Stricture.jpg?fit=1200%2C630&ssl=1","jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-NJ","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/posts\/3083","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/comments?post=3083"}],"version-history":[{"count":21,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/posts\/3083\/revisions"}],"predecessor-version":[{"id":9730,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/posts\/3083\/revisions\/9730"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/media\/10114"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/media?parent=3083"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/categories?post=3083"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/tags?post=3083"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}