Urethral Stricture Treatment

Urine is discharged from the body through the urethra. When the opening of the urethra is obstructed — a condition known as meatal stenosis — urination becomes difficult or impossible. This leads to urine retention, which can result in serious infections, kidney damage, or even kidney failure.

In such cases, urethral stricture surgery (typically a procedure called meatotomy) is necessary. The goal of this intervention is to enlarge the external urethral opening and prevent urine retention. Delaying treatment can cause complications, including progressive scarring and long-term damage to the urinary system.

This type of urethral stricture repair is typically brief and straightforward. Once healing is complete, the child can urinate normally, without pain or discomfort. Postoperative care is crucial, and parents are advised to follow medical instructions for applying ointments regularly in order to avoid re-narrowing of the urethral opening.

By correcting the obstruction, the surgery eliminates the risk of urinary infections and kidney damage. This approach is a reliable method of urethral stricture management in pediatric cases.

The procedure is usually performed under general anesthesia in infants. Throughout the operation, the child remains asleep and experiences no pain or awareness. This form of pediatric meatal stenosis correction takes only a few minutes.

The surgeon makes a small incision at the tip of the urethra to widen the meatal opening. In some cases, the procedure is referred to as meatal stenosis surgery. Once the correction is made, a healing ointment is applied inside the urethra.

The surgery is performed under general anesthesia and typically lasts 5–10 minutes.

After surgery, the anesthesiologist stops administering the anesthetic, and the child gradually wakes up in a postoperative recovery room. Parents are encouraged to be present during this time. Most patients are discharged the same day.

Post-discharge, it’s important to keep the genital area clean by washing it with soap and water once or twice a day. Parents should ensure the child drinks plenty of fluids and urinates frequently to prevent infection or closure of the urethral opening.

To maintain the urethral passage and prevent recurrence of the stricture, doctors may prescribe ointments and explain how to apply them properly.

A follow-up visit is scheduled approximately one month after surgery for a routine check-up with the surgeon. In case of fever above 38°C or other concerning symptoms, parents should immediately contact the hospital or return to the emergency department.

Urethral stricture treatment without waiting is available at Sourasky Medical Center for international patients as well. Families seeking urethral stricture treatment abroad or urethroplasty surgery for children can send diagnostic documents to medtour@tlvmc.gov.il or submit an inquiry on the official hospital website.

Our specialists will get in touch within 24–48 hours to discuss options for no wait urethral stricture treatment and advanced pediatric care in Israel.