Optical Urethrotomy Newcastle
A keyhole procedure that opens a urethral stricture by making a precise internal cut under direct vision. It restores urinary flow without any external incision. It can be effective, though recurrence of the stricture is common.
What is optical urethrotomy?
Optical urethrotomy, also known as direct vision internal urethrotomy, is a minimally invasive treatment for a urethral stricture. A urethral stricture is a narrowing of the urethra caused by scar tissue. It can lead to a weak urinary stream, spraying, difficulty emptying the bladder or recurrent urinary infections.
During the procedure, a fine telescope is passed through the urethra to the site of the narrowing. Under direct vision, a small blade or laser is used to cut through the scar tissue and widen the passage.
Because everything is done through the urethra, there is no external incision.
The procedure is usually carried out under anaesthetic and often as a day case. A catheter may be left in place for a short time afterwards to support healing.
Optical urethrotomy can provide good initial results, particularly for a first and short stricture. However, like urethral dilatation, it does not remove the underlying tendency to form scar tissue. Strictures can return and repeated urethrotomies become progressively less likely to succeed.
If a stricture recurs, your consultant will usually discuss urethroplasty, a reconstructive procedure that offers a more durable solution.
How it works
Optical urethrotomy restores urine flow by cutting through scar tissue under direct vision.
Direct visualisation
A fine telescope allows the consultant to see the stricture clearly before treatment.
Precise internal cut
A small blade or laser cuts through the scar tissue to open the narrowing.
Risk of recurrence
Because the underlying scarring tendency remains, the stricture can return, especially after repeated procedures.
Who optical urethrotomy may suit
This procedure may be suitable for men who:
- Have a first and short urethral stricture
- Need more than simple dilatation can provide
- Are not yet considering reconstructive surgery
- Understand the possibility of recurrence
Assessment including imaging or cystoscopy helps determine whether this approach is appropriate.
What to expect
- Assessment
Your consultant will confirm the diagnosis and assess the length and location of the stricture. This helps determine whether optical urethrotomy is suitable. - The procedure
Under anaesthetic, the telescope is passed through the urethra and the stricture is cut under direct vision. There are no external cuts. - Recovery and follow-up
A catheter may be required for a short period. Mild discomfort when passing urine can occur during healing. Follow-up ensures urinary flow has improved and monitors for recurrence.If the stricture returns, alternative options such as urethroplasty will be discussed.
Why choose The Forbury Clinic for optical urethrotomy in Newcastle?
No external incision
The procedure is performed entirely through the urethra.
Good initial results
Often effective for a first and short stricture and usually carried out as a day case.
Appropriate patient selection
Recommended when it is the most suitable option for the type of stricture present.
Honest discussion about durability
Clear advice is given about recurrence rates and when reconstructive surgery may offer a better long-term solution.
Frequently asked questions
How is optical urethrotomy different from dilatation?
Dilatation stretches the narrowing using instruments. Optical urethrotomy cuts through the scar tissue under direct vision. Urethrotomy can provide better opening for some strictures, though both can recur.
Will the stricture come back?
It can. The procedure does not remove the underlying tendency to form scar tissue. Repeated urethrotomies are less likely to succeed over time.
Is it painful?
It is carried out under anaesthetic, so you will not feel it during the procedure. A catheter may be needed briefly afterwards and your consultant will explain what to expect.
When should urethroplasty be considered?
Urethroplasty is usually considered when a stricture recurs after urethrotomy or dilatation, or when the stricture is longer. It offers a more durable and often curative result.
Book your urology consultation today
Consultations are available to book online for patients with or without a GP referral. Our private specialists provide world-class care in a discrete environment.
- AppointmentBook a consultation
- Reception01189207055
- Location
The Beverley Hospital, The Edge, Fifth Ave, Team Valley, Gateshead NE11 0XA
