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Minimal invasive management for the relief of LUTS (lower urinary tract symptoms) or Urinary Retention caused by a Urethral Stricture

Why is it done?

  • This procedure is performed when concentric scarring in the urethra causes LUTS and /or Urinary Retention
  • Symptoms include: a weak stream, nightly urination, frequent urination, inability to urinate, (LUTS) and Urinary Retention
  • This is alternative to an invasive procedure where long periods of anaesthetic is contraindicated.
  • Usually for chronically sick patients who cannot undergo surgery, yet are active enough not to want a permanent catheter.
  • Patients who don’t want to / cannot do intermittent self-dilatation of these strictures
  • Don’t want a permanent Indwelling Catheter


How is it done?

  • Patients will receive sedation with local anaesthetic gel placed in the urethra.
  • A cystoscopy is performed by placing a camera in the urethra with the help of a lubricant jelly and an irrigant (fluid).
  • The measurements of the urethral are taken (length)
  • Appropriate length coil is chosen.
  • The device is placed through the cystoscopic sheath, to sit snug in the prostate urethra stretching over the length of the stricture
  • Prophylactic antibiotics will be given to prevent any infections.




  • Persistent pain in penile shaft
  • Pain in Perineum when seated
  • Migration of the device
  • Erosion of device
  • Possible infection
  • Long term yields the risk for encrustation and recurrent infections
  • NB! Each person is unique and for this reason, symptoms vary!


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Copyright 2019 Dr Jo Schoeman