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A urethral stricture is scar tissue that narrows the urine passage, causing a thin, slow stream and straining — even in young men. Repeated dilatation or cutting often gives only short relief. Dr. Kumar Rajesh Ranjan, M.Ch (Urology), offers urethroplasty, including buccal (cheek) mucosa graft repair, for a lasting result.
Urethroplasty is open reconstructive surgery that repairs a narrowed segment of the urethra. Short strictures may be cut out and the healthy ends rejoined (anastomotic urethroplasty); longer strictures are widened with a graft, most often from the inside of the cheek (buccal mucosa graft urethroplasty). It has much better long-term success than repeated dilatation or internal urethrotomy (DVIU), which suit only short, first-time strictures. In Patna it is performed by M.Ch urologist Dr. Kumar Rajesh Ranjan at Satyadev Super Speciality Hospital.
Stricture symptoms are often mistaken for prostate problems, but they can start at any age.
The stream becomes slow, thin or sprays, and takes longer to finish.
Needing to push hard to start or keep urine flowing.
Leaking after urinating and a feeling the bladder is not empty.
Urine infections or swelling of the testis (epididymitis).
⚠ Needs evaluationComplete blockage is an emergency — call +91-8050295197.
🚨 Emergency — call immediatelyThe right option depends on the length, position and number of previous treatments of the stricture.
| Feature | Urethroplasty | DVIU (Internal Urethrotomy) | Dilatation |
|---|---|---|---|
| What it does | Removes or widens the scarred segment | Cuts the scar from inside with a scope | Stretches the narrow part |
| Best for | Long, repeat or complex strictures | Short, first-time strictures | Temporary relief only |
| Long-term success | High | Falls with each repeat | Low; needs repeating |
| Cuts | Yes, in the perineum (and inside the cheek for a graft) | None | None |
| Hospital stay | 3-5 days | 1-2 days | Day care |
A step-by-step guide to buccal mucosa graft urethroplasty.
RGU and MCU X-rays show the exact length and position of the stricture.
Before surgeryGeneral or spinal anaesthesia.
15 minutesA strip of lining from inside the cheek is taken; the cheek heals in a few days.
20-30 minutesThrough a cut in the perineum, the scar is removed or opened and the graft is stitched in to widen the urethra.
2-3 hoursA catheter stays for 2-3 weeks; an X-ray confirms healing before removal.
2-3 weeks
Patience in the first weeks gives the best long-term result.
Hospital stay; soft diet if a cheek graft was taken.
Home with catheter; avoid sitting long on hard surfaces or cycling.
X-ray and catheter removal.
Flow tests to check a strong stream.
Yearly flow test to catch any recurrence early.
Results in urology depend on the surgeon's training and the equipment available. Here is what you get at Satyadev Urology.
MBBS, MS, M.Ch (Urology), FMAS, with fellowship training in advanced laparoscopic urology and kidney transplant at Urocare, Kochi and Aesculap Academy, Germany.
Holmium laser, flexible ureteroscopes, C-arm fluoroscopy, HD laparoscopy and modular operation theatres in one hospital.
Recipient of the Stars of Bihar Award, the Acharya Charak Medical Award and Icon of Health, Bihar.
Round-the-clock critical care and anaesthesia support for high-risk and emergency patients.
Cashless treatment for eligible patients under Ayushman Bharat PMJAY and most major insurers and TPAs.
Consultation, CT and ultrasound, lab tests, surgery and follow-up under one roof — no need to travel to Delhi or Vellore.
11:00 AM – 3:00 PM, Monday to Saturday. Consultation ₹800, valid for 15 days.
3:00 PM – 4:00 PM, Monday to Saturday. Sunday OPD closed; emergency open 24×7.
Old prescriptions, scan and blood reports, and a list of your current medicines, especially blood thinners.
Read the full profile of Dr. Kumar Rajesh Ranjan, urologist in Patna, his doctor profile at Satyadev Hospital, or the hospital OPD timings.
Treatment for enlarged prostate and urine blockage.
Laser cystolithotripsy through the urine passage.
Urology care for babies and children.
Stapler and conventional circumcision for phimosis.
Male sexual health and infertility.
All options for kidney stones: RIRS, PCNL, URSL and medicines.
"One of the best doctors for kidney problems in Patna. All advanced procedures like PCNL, URS, laparoscopic nephrectomy done here. Clean and hygienic."
Rajan Sharma"Dr. Kumar Rajesh Ranjan ne clearly samjhaya ki darne ki koi baat nahi hai aur treatment possible hai. Mera operation yahan successfully hua. Ayushman Bharat card se treatment ho gaya."
Ajit Thakur"Bahut bahut dhanyawad sir. Kisi bhi tarah ki dikkat nahi hui. Yahan mera bacche ka ilaj bahut hi bdhiya dhang se hua hai."
Rupesh PaswanAnswered by the urology team at Satyadev Hospital, Patna.
Dr. Kumar Rajesh Ranjan, M.Ch (Urology), treats urethral strictures with DVIU and urethroplasty, including buccal mucosa graft urethroplasty, at Satyadev Super Speciality Hospital, Patna.
For long, repeat or complex strictures, yes — urethroplasty has much better long-term success. DVIU is reasonable for a short, first-time stricture.
A strip of the inner lining of the cheek is used as a patch to widen the narrowed urethra. The cheek heals in a few days and the graft takes well in the urethra.
Usually 2-3 weeks. An X-ray is done before removal to confirm the repair has healed.
It can, but much less often than after dilatation or DVIU. Yearly flow tests help catch any narrowing early.
Yes, for eligible patients at Satyadev Super Speciality Hospital, and under CGHS, ESIC and most insurance TPAs.
छोटे और पहली बार हुए स्ट्रिक्चर में दूरबीन (DVIU) से इलाज हो सकता है। बार-बार होने वाले या लंबे स्ट्रिक्चर का स्थायी इलाज यूरेथ्रोप्लास्टी है, जिसमें अक्सर गाल की झिल्ली (ग्राफ्ट) लगाई जाती है।
आमतौर पर 2-3 हफ्ते। एक्स-रे से ठीक होने की पुष्टि के बाद कैथेटर निकाला जाता है।
Call +91-8050295197 or +91-8235152796, or use the contact page. Bring old urethrogram reports if you have them.
Lasting repair of urethral stricture by an M.Ch urologist trained in reconstructive urology. Call now or visit us at Magistrate Colony, Khajpura, Patna.
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