The urethra is a tube that passes urine out of the body. Urethral dilation opens a narrow urethra.
Reasons for Procedure
This procedure is done to allow urine to pass in people with:
- Urethral stricture—scarring from swelling, harm, or infection
- Meatal stenosis—a narrow opening of the urethra at the end of the penis
These problems are more common in men.
Problems are rare, but all procedures have some risk. Your doctor will go over some problems that could happen, such as:
- Problems from anesthesia
- Problems return and dilation needs to be repeated (common)
- Harm to the urethra
- Erection problems
- Blood clots
- Heart attack
Smoking can make problems worse and slow healing. Quitting before surgery can improve recovery.
What to Expect
Prior to Procedure
You will need to:
- Arrange for a ride home.
- Arrange for help at home while you heal.
- Talk to your doctor about all medicines you are taking, including over the counter medicines and supplements. Some may need to be stopped up to 1 week before the dilation.
- Avoid food or drink after midnight the night before surgery.
You may be given anesthesia:
- General—You will be asleep.
- Local—The urethra will be numbed.
Description of the Procedure
The urethra will be numbed. One of 2 methods will be used to widen the urethra:
- A wire will be passed through the urethra. Plastic or metal rods will be passed over or next to the wire. They will stretch tissue in the narrow area.
- A tube with a balloon will be placed in the urethra. It will be slowly inflated to stretch the area.
The tools will be removed. A tube may be placed to help urine pass while you heal.
How Long Will It Take?
Will It Hurt?
Anesthesia will prevent pain. There may be discomfort when tools are first put in. You may also have some discomfort when you pass urine in the next few days.
At the Care Center
You may be given pain medicine.
Most will return to normal activity by the next day.
Call Your Doctor
Call your doctor if you are not getting better or you have:
- More bleeding than expected
- Signs of infection, such as fever and chills
- Problems that return
- Pain that you cannot control with medicine
- Problems urinating
- Nausea and vomiting
- Problems having an erection
- Chest pain
If you think you have an emergency, call for emergency medical services right away.
Family Doctor—American Academy of Family Physicians https://www.familydoctor.org
Urology Care Foundation https://www.urologyhealth.org
Canadian Urological Association https://www.cua.org
Health Canada https://www.canada.ca
Common benign urologic conditions in men. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/common-benign-urologic-conditions-in-men . Updated October 2, 2017. Accessed July 26, 2019.
Dilation treatment for urethral stricture. NYU Langone Health website. Available at: https://nyulangone.org/conditions/urethral-stricture-in-adults/treatments/dilation-treatment-for-urethral-stricture. Accessed July 26, 2019.
Urethral strictures. Beaumont website. Available at: https://www.beaumont.org/conditions/urethral-strictures. Accessed July 26, 2019.
What is meatal stenosis? Urology Care Foundation website. Available at: https://www.urologyhealth.org/urologic-conditions/meatal-stenosis. Accessed July 26, 2019.
What is urethral stricture? Urology Care Foundation website. Available at: https://www.urologyhealth.org/urologic-conditions/urethral-stricture-disease#Dilation. Accessed July 26, 2019.
- Reviewer: EBSCO Medical Review Board Adrienne Carmack, MD
- Review Date: 09/2019
- Update Date: 09/24/2019