{"id":5907,"date":"2026-06-28T20:42:51","date_gmt":"2026-06-28T19:42:51","guid":{"rendered":"https:\/\/www.beleyurologie.fr\/test2\/urethral-stenosis"},"modified":"2026-09-26T16:33:12","modified_gmt":"2026-09-26T15:33:12","slug":"urethral-stenosis","status":"publish","type":"besoin_patient","link":"https:\/\/www.beleyurologie.fr\/en\/besoins-urologie\/urethral-stenosis","title":{"rendered":"Urethral stricture"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"<p>Understanding and treating urinary tract stricture Urethral stricture is an abnormal narrowing of the urinary tract that prevents urine from flowing normally. It can cause bothersome urinary problems, pain, and,\u2026<\/p>\n","protected":false},"featured_media":3868,"menu_order":0,"template":"","class_list":["post-5907","besoin_patient","type-besoin_patient","status-publish","has-post-thumbnail","hentry"],"acf":{"beley_subtitle":"Understanding and treating urinary tract stricture","beley_intro":"Urethral stricture is an abnormal narrowing of the urinary tract that prevents urine from flowing normally. It can cause bothersome urinary problems, pain, and, in severe cases, more serious complications such as urinary tract infections or acute urinary retention.","beley_related_expertises":"","beley_related_besoins":"","beley_card_excerpt":"A narrowing of the urinary tract should be treated early to restore normal flow and avoid complications.","beley_form_shortcode":"","beley_primary_label":"consultation appointment","beley_primary_url":"https:\/\/www.doctolib.fr\/chirurgien-urologue\/paris\/sebastien-beley","beley_secondary_label":"surgery appointment","beley_secondary_url":"https:\/\/www.beleyurologie.fr\/rdv-chirurgie-urologique-sebastien-beley","beley_card_image":3869,"beley_hero_image":3869,"beley_videos":[{"url":"https:\/\/www.youtube.com\/watch?v=aKs3Yq-GVhY","title":"Patient Journey"}],"beley_video_eyebrow":"","beley_video_section_title":"","beley_video_section_text":"","beley_faq_title":"FAQ \u2013 Frequently Asked Questions","beley_faq_items":[{"question":"What are the symptoms of urethral stricture?","answer":"The main sign is a progressive weakening of the urinary stream, sometimes accompanied by straining, post-void dribbling, recurrent urinary tract infections, or difficulty emptying the bladder completely."},{"question":"What are the causes of urethral stricture?","answer":"The most frequent causes are trauma (catheterization, endoscopic surgery, pelvic trauma), past urethral infections, and certain inflammatory diseases such as lichen sclerosus. Sometimes, no cause is found."},{"question":"How is urethral stricture treated?","answer":"Treatment depends on the length and location of the narrowing: dilation or endoscopic incision (urethrotomy) for short strictures, and surgical urethroplasty, which is more durable, for long or recurring strictures."},{"question":"Can stenosis recur after treatment?","answer":"After a simple urethrotomy, recurrence is frequent (up to 50% of cases). Urethroplasty, on the other hand, offers lasting success rates exceeding 85-90%, making it the standard treatment for recurrent strictures."}],"beley_sidebar_rdv_title":"","beley_doctor_band_title":"","beley_doctor_band_text":"","beley_doctor_band_points":null,"beley_doctor_band_image":"","beley_page_cta_title":"","beley_page_cta_text":"","beley_closing_highlights":null,"beley_blocks":[{"acf_fc_layout":"text_block","eyebrow":"","title":"Introduction","content":"Left untreated, it can lead to serious complications, such as kidney failure. The good news is that treatments are available. Early intervention can restore normal <strong>urinary<\/strong> flow and prevent complications."},{"acf_fc_layout":"image_text_block","eyebrow":"","title":"What is urethral stricture?","content":"The <strong>urethra<\/strong> is the tube that allows urine to flow from the bladder to the outside. When it narrows, urine has difficulty passing through, leading to various symptoms. <strong>Some statistics:<\/strong><ul><li> Urethral <strong>stricture<\/strong> affects 1 in 1,000 men, especially after age 50.<\/li><li> It is rare in women, because their urethra is shorter and less exposed to trauma.<\/li><li> Without treatment, it can progress and completely block the flow of urine.<\/li><\/ul>","image":1729},{"acf_fc_layout":"image_text_block","eyebrow":"","title":"What are the symptoms of urethral stricture?","content":"<strong>Urethral<\/strong> <strong>stricture<\/strong> may be asymptomatic at first, but it gradually progresses to debilitating urinary problems:<ul><li> Weak or intermittent <strong>urine<\/strong> stream<\/li><li> Frequent urination and urinary urgency<\/li><li> Pain or burning sensation when urinating<\/li><li> Residual dribbling after urination (\"post-void dribbling\")<\/li><li> Frequent urinary tract infections<\/li><li> Acute urinary retention (total blockage of urine)<\/li><\/ul> The tighter the stenosis, the more severe the symptoms.","image":3869},{"acf_fc_layout":"text_block","eyebrow":"","title":"What are the causes of urethral stricture?","content":"Urethral <strong>stricture<\/strong> can occur after an injury or infection, but some causes remain unknown. <strong>Trauma and injury<\/strong><ul><li> Repeated insertion of urinary catheters<\/li><li> Surgical procedures on the prostate or bladder<\/li><li> Falls or blows to the perineum<\/li><li> Practice of risky sports (cycling, horse riding, etc.)<\/li><\/ul> <strong>Infections and inflammations<\/strong><ul><li> STIs (gonorrhea, chlamydia)<\/li><li> Chronic prostatitis or urethritis<\/li><li> Lichen sclerosus (a skin disease causing fibrosis)<\/li><\/ul> <strong>Congenital or unknown causes<\/strong><ul><li> Some stenoses are present from birth<\/li><li> In some cases, no specific cause is identified.<\/li><\/ul> An evaluation by a specialist is essential to identify the cause and choose the right treatment."},{"acf_fc_layout":"video_section_block","eyebrow":"Experience","title":"S\u00e9bastien Beley - Patient journey in practice","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=aKs3Yq-GVhY"},{"acf_fc_layout":"text_block","eyebrow":"","title":"Impact on quality of life","content":"Urethral <strong>stricture<\/strong> significantly impairs daily life:<ul><li> Discomfort and persistent pain when urinating<\/li><li> Fear of no longer being able to urinate normally (anxiety and stress)<\/li><li> Disrupted sexual intercourse (erectile difficulties, pain)<\/li><li> Increased risk of urinary tract infections and kidney failure<\/li><\/ul> Appropriate treatment can restore <strong>urinary<\/strong> comfort and a better quality of life."},{"acf_fc_layout":"text_block","eyebrow":"","title":"What solutions exist?","content":"<strong>Drug treatments (mild cases)<\/strong> Drug treatments cannot cure <strong>stenosis<\/strong> , but they can relieve some symptoms:<ul><li> Antibiotics in case of associated infection<\/li><li> Anti-inflammatory medication to reduce irritation<\/li><li> Alpha blockers to improve <strong>urinary<\/strong> flow<\/li><\/ul> These treatments are often a temporary solution before surgery. <strong>Urethral dilation<\/strong><ul><li> Insertion of a balloon or instrument to widen the <strong>urethra<\/strong><\/li><li> A minimally invasive technique, but often temporary (high risk of recurrence)<\/li><\/ul> Indicated for short and mild strictures. <strong>Endoscopic urethrotomy<\/strong><ul><li> The procedure was performed endoscopically to incise the stenosis and restore the passage of urine.<\/li><li> Minimally invasive, rapid recovery, but recurrence possible<\/li><\/ul> Indicated if the stenosis is short and has little fibrous tissue. <strong>Reconstructive surgery (urethroplasty)<\/strong><ul><li> Grafting or reconstruction of the urethra to permanently widen the canal<\/li><li> A more invasive technique, but effective in the long term.<\/li><\/ul> Indicated for long-standing or recurrent strictures. <strong>Placement of a urethral stent.<\/strong><ul><li> Placement of a stent to keep the urethra open<\/li><li> Indicated for patients for whom surgery is too risky.<\/li><\/ul> A last resort solution in cases of significant recurrence."},{"acf_fc_layout":"text_block","eyebrow":"","title":"Why consult a specialist?","content":"A urologist will be able to:<ul><li> Confirm the diagnosis using urethrography or endoscopy<\/li><li> Assess the severity and propose appropriate treatment<\/li><li> Avoid serious complications (kidney failure, severe infections)<\/li><\/ul> Don't let a urethral <strong>stricture<\/strong> progress. The earlier it is treated, the simpler and more effective the treatment."},{"acf_fc_layout":"text_block","eyebrow":"","title":"Patient Journey","content":"Let me introduce you to the typical patient journey, my approach to <a href=\"https:\/\/www.beleyurologie.fr\/maladie-de-la-peyronie\/maladie-de-lapeyronie-urgence\">urology<\/a> , and how I work."},{"acf_fc_layout":"text_block","eyebrow":"","title":"Are you suffering from urinary problems?","content":"Do not let a urethral <strong>stricture<\/strong> progress.<ul><li> Urology Clinic Paris Op\u00e9ra \u2013 Paris 17th<\/li><li> In-person or teleconsultation<\/li><li> Book your appointment today<\/li><\/ul>"}]},"_links":{"self":[{"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/5907","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient"}],"about":[{"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/types\/besoin_patient"}],"version-history":[{"count":2,"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/5907\/revisions"}],"predecessor-version":[{"id":6369,"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/5907\/revisions\/6369"}],"wp:attachment":[{"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/media?parent=5907"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}