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The Forbury Clinic

Urethral Dilatation Newcastle

A minimally invasive treatment that gently stretches a narrowed urethra to relieve obstruction and improve urine flow. It can provide quick symptom relief, though strictures often return. This is discussed openly during consultation.

  • Minimally invasive
    Minimally invasive
    Quick symptom relief
    Often a starting point
    Strictures can recur

What is urethral dilatation?

Urethral dilatation is one of the simplest treatments for a urethral stricture, which is a narrowing of the urethra caused by scar tissue.

The narrowed section is gently stretched using progressively larger dilators or a balloon catheter. This widens the channel so urine can flow more freely.

The procedure is minimally invasive and often performed under local anaesthetic. For men experiencing a weak stream, straining or incomplete emptying, it can provide prompt relief.

For a first and short stricture, urethral dilatation may be a reasonable starting point.

It is important to be realistic. Dilatation stretches the scar tissue rather than removing it. Because of this, the narrowing commonly returns over time. Some men require repeat procedures. Where recurrence becomes frequent, more durable options such as urethroplasty may be considered.

Your consultant will explain clearly what urethral dilatation can achieve in your specific case and when a longer-lasting solution may be more appropriate.

Stretching the narrowing

What it involves

Urethral dilatation relieves obstruction by widening the narrowed segment.

Gentle stretching

The stricture is widened using progressively larger dilators or a balloon.

Improved urine flow

By enlarging the channel, urinary stream improves and straining is reduced.

Possibility of recurrence

Because the underlying scar remains, the stricture may narrow again over time.

Who urethral dilatation may suit

Urethral dilatation may be appropriate for men who:

  • Have a first or short urethral stricture
  • Want rapid relief of obstructive symptoms
  • Prefer to defer or avoid surgery
  • Understand that recurrence is common

Assessment confirms whether dilatation is proportionate and suitable.

What to expect

  1. Assessment
    Your consultant confirms the presence, length and position of the stricture and discusses whether dilatation is appropriate.
  2. The procedure
    The narrowed segment is gently stretched, usually under local anaesthetic. The procedure is brief and minimally invasive.
  3. Follow-up
    Your urinary flow and symptoms are reviewed. If narrowing returns, alternative options are discussed.

Why choose The Forbury Clinic for urethral dilatation in Newcastle?

Why The Forbury Clinic
1

Minimally invasive option

A simpler procedure than surgery, often performed under local anaesthetic.

2

Rapid symptom relief

Can quickly improve urinary stream and reduce straining.

3

Appropriate first step

For selected short strictures, a sensible starting approach.

4

Honest expectations

Clear discussion of recurrence rates and when to consider a definitive repair.

From assessment to durable care

Urethral dilatation is often used as an initial treatment.

Not every stricture is best managed with repeated stretching. When recurrence becomes frequent or the stricture is longer, reconstructive surgery such as urethroplasty may provide a more durable solution.

Treatment decisions are based on length, location and recurrence pattern.

Frequently asked questions

Does urethral dilatation hurt?

It is usually performed under local anaesthetic. Discomfort is generally manageable and explained beforehand.

Will the stricture return?

Recurrence is common because the scar tissue is stretched rather than removed.

How is it different from urethroplasty?

Dilatation is minimally invasive but often temporary. Urethroplasty reconstructs the urethra surgically and offers a more durable result.

Can I dilate the stricture myself?

In selected cases, intermittent self-dilatation may be taught. Your consultant will advise whether this is appropriate.

Do I need a referral?

No. Self-referral is welcome.

Reviewed by Mr Matthew B.K. Shaw
Mr Shaw qualified from Oriel College, University of Oxford in 1997 before developing an internationally recognised Urology practice in the North East of England.
Last reviewed: 29 Jul 2026.

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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.

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  • Reception
    01189207055
  • Location

    The Beverley Hospital, The Edge, Fifth Ave, Team Valley, Gateshead NE11 0XA

Treatment suitability is determined following consultation with a specialist. Individual results and recommendations vary.
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