Urethroplasty is a specialized reconstructive surgery used to permanently treat urethral stricture, a condition where the urine passage becomes narrowed due to scarring.
Performed by Dr. Ajinkya Kasekar, urethroplasty offers the highest success rate and is considered the gold-standard treatment for long, recurrent, or complex urethral strictures.

What Is Urethral Stricture?

A urethral stricture occurs when the urethra narrows due to scar tissue formation, commonly caused by:

• Prior infections

• Trauma or accidents

• Previous surgeries

• Catheter use

• Inflammation

• Idiopathic causes (unknown reason)

Strictures restrict urine flow and can lead to repeated infections, bladder damage, and severe urinary problems.

What Is Urethroplasty?

Urethroplasty is a reconstructive surgery that repairs or replaces the narrowed segment of the urethra.
It offers long-term or permanent cure compared to repeated endoscopic treatments like VIU/OIU.

Depending on the severity, Dr. Ajinkya Kasekar performs:

1. Excision & Primary Anastomosis (EPA)

Removal of the scarred segment and joining the healthy ends—ideal for short strictures.

2. Substitution Urethroplasty

Using a graft (usually from the inner cheek – buccal mucosal graft) to rebuild the narrowed portion.
Best for long or complex strictures.

3. Augmentation Urethroplasty

Enlarging the narrowed segment with a graft without removing the entire area.

Who Needs Urethroplasty?

It is recommended for:

• Long strictures (>1–2 cm)

• Recurrent strictures after VIU/OIU

• Strictures causing severe urinary obstruction

• Bulbar, penile, or posterior urethral strictures

• Traumatic strictures

• Patients seeking a long-term, reliable cure

Symptoms of Urethral Stricture

• Weak urine stream

• Straining or difficulty urinating

• Spraying of urine

• Incomplete bladder emptying

• Recurrent UTIs

• Pain during urination

• Urinary retention

How Urethroplasty Is Performed

1. The narrowed segment of the urethra is identified.

2. Depending on the type of stricture, the scarred area is removed or reconstructed.

3. Healthy tissue or graft is used to rebuild the urethra.

4. A catheter is placed temporarily to support healing.

The surgery takes 2–3 hours and is performed under anesthesia.

Benefits of Urethroplasty

• Highest success rate (85–95%)

• Permanent solution for most strictures

• Restores normal urine flow

• Stops repeated infections

• Avoids repeated endoscopic surgeries

• Improves long-term bladder and kidney health

Recovery After Urethroplasty

Most patients:

• Stay in the hospital for 1–3 days

• Have a catheter for 2–3 weeks

• Resume normal activities gradually in 2–3 weeks

• Undergo follow-up tests to ensure proper healing

Pain and discomfort are minimal and well-managed with medication.

Why Choose Dr. Ajinkya Kasekar?

• Special expertise in urethral reconstruction

• Experience with both simple and complex strictures

• Gentle, precision-based surgical technique

• Use of high-quality graft materials (buccal mucosa)

• Focus on long-term cure and functional recovery

• Clear communication and patient-first care

When to Consider Urethroplasty

Choose urethroplasty if:

• You’ve had repeated VIU/OIU procedures

• The stricture keeps coming back

• The stricture is long or complex

• Urine flow is severely restricted

• You want a permanent, reliable solution

Book a Consultation

If you are suffering from a urethral stricture, urethroplasty offers the most effective and long-lasting treatment.
Consult Dr. Ajinkya Kasekar for thorough evaluation and expert reconstructive surgery.