“Do I need surgery?” This is both the most common and the most worrying question among patients who visit the clinic with symptoms caused by prostate enlargement. If you are asking yourself the same question, you are not alone. This article explains as simply and transparently as possible how the decision for surgery is made, why one method may suit you better, what to expect afterward, and which risks are possible. Our goal is to help you speak with your physician more comfo

When your doctor tells you "we need to do a cystoscopy", the first questions that come to your mind are probably: Is this procedure painful, how long does it take, is anesthesia required? Cystoscopy is a frequently used diagnostic (and, when necessary, treatment) method in urology practice, which allows direct imaging of the inner surface of the bladder and urethra with a thin camera. In this article, we explain what cystoscopy is, in what cases it is requested, how the proce

Can Recurrent Urinary Tract Infection in Women Be Related to Urethral Stricture? Do you have a urinary tract infection several times a year, use antibiotics each time, but cannot understand why the problem reoccurs? There are often simple and common reasons behind recurrent urinary tract infections in women; however, in very rare cases, a structural cause such as urethral stricture may also play a role. In this article, we discuss the common causes of recurrent infection, the

“Surgery was recommended, but I didn't understand exactly what to do” — this is one of the most common sentences said by our patients who were recommended urethroplasty (surgery to repair the urinary tract) due to urethral stricture. Urethroplasty is not actually a single surgery; it is the common name of several different techniques that vary depending on the location, length and cause of the stenosis. In this article, we explain these techniques - such as end-to-end anastom

Urethral Stricture After Prostate Surgery Some of our patients who had prostate surgery notice that after a while their urine flow is weak again. This does not immediately mean “the prostate has grown back”. Sometimes the reason is a small scar left in the urinary tract by the instruments and catheters used in the surgery; this is called stricture and can narrow the urinary tract over time. This situation is not unique to TURP; it can also be seen after laser methods such as

Have you noticed that your urine flow is not as strong as before, that you have to go to the toilet more frequently, or that you just can't relax after peeing? There may be many reasons behind these complaints; One of these is urethral stricture. Urethral stricture is a narrowing in the channel through which urine is carried out of the bladder and is a condition that is quite common in men but is often noticed late. In this article, we discuss why stenosis occurs, in whom it

Urinary incontinence is the involuntary leakage of urine. It is quite common in women; however, many people see a doctor late because of embarrassment, hesitation, or the belief that it is simply a normal part of ageing. In fact, urinary incontinence is not a single condition. It can occur for different reasons, and the treatment plan changes depending on the type of leakage. This article explains, in simple terms, the two most common types of urinary incontinence in women: s

Difficulty urinating is a common complaint among men, and an enlarged prostate is often the first cause that comes to mind. However, this is not always correct: benign prostatic hyperplasia (BPH), prostate cancer, and urethral stricture can cause very similar symptoms. For this reason, the path to the right treatment starts with the right diagnosis. What Is Difficulty Urinating? Difficulty urinating is a general term for various problems experienced while passing urine. The m

Weak urine flow is one of the most common complaints in urology. Many people describe it as “my urine stream is thin,” “I cannot urinate as strongly as I used to,” “I have difficulty starting to urinate,” or “my urine comes out intermittently.” Although an enlarged prostate is often the first cause that comes to mind, it is not the only possible reason. Weak bladder muscle function, a blockage in the urinary tract, or problems related to the nervous system can also lead to th

There are three main treatment options for urethral stricture disease: dilation, internal urethrotomy, and open urethroplasty. In this article, you will find a straightforward explanation of how each method works, along with its advantages and disadvantages. The most suitable treatment depends on the location, length, cause of the stricture, and how many previous treatments you have had. The Difference Between the Three Methods at a Glance In the simplest terms: Dilation stre

Urinary Incontinence Treatment Options There is no single standard formula in the treatment of urinary incontinence; planning is completely personalized according to the patient’s gender, the type of incontinence, and its severity. Lifestyle and Behavioral Treatments: First-Line Treatment In mild and moderate cases, the aim is to regulate lifestyle habits before moving on to medication or surgery. Pelvic Floor (Kegel) Exercises: These are the first-line treatment, especially

Patients who visit the clinic with complaints of urinary incontinence or inability to urinate usually have this very understandable question in mind: “What does my nervous system have to do with my bladder?” In fact, the bladder is not just a pouch that works on its own; it is a complex organ that functions under the flawless control of the brain and spinal cord. When this nerve connection is damaged for any reason, the bladder becomes unable to “know” when it is full and whe

Overactive bladder is a condition characterized by a sudden feeling of urgency, frequent urination, and sometimes urinary leakage before reaching the toilet. It can significantly reduce quality of daily life and social well-being. Although many of our patients accept this condition as a natural result of aging or the passing years, it is certainly not fate. Although it is generally not caused by an underlying structural or life-threatening damage, it occurs when the bladder’s

One of the most common problems in society, yet one that patients often feel most hesitant to mention to a doctor, is urinary incontinence, commonly known as involuntary urine leakage. This condition can distance a person from social life and daily activities. Although many people consider it an inevitable and natural consequence of aging, this belief is completely wrong. Urinary incontinence is not a disease on its own; rather, it is a symptom of another underlying health pr

Accurate Diagnosis Is the Key to the Right Treatment The diagnosis of urinary tract stricture is based not only on symptoms, but also on the combination of imaging and functional tests. The vagueness of symptoms carries the risk of being confused with prostate enlargement, bladder contraction disorder, and other lower urinary tract problems. Therefore, explaining the role of each test and what awaits the patient is critical for the success of the process. Initial Evaluation:

Pelvic fractures caused by severe trauma, such as traffic accidents or falls from height, may rarely lead to complications that deeply affect the patient’s life. One of the most important of these complications is posterior urethral stricture, which is characterized by rupture or injury in the section of the urethra, the urinary canal, near the prostate. In the acute period, the most prominent findings are inability to urinate, bleeding from the urethral opening, the penis, a

A Stricture Affecting the Entire Urethra The urethra is a tube-shaped structure that allows urine stored in the bladder to be expelled from the body. Panurethral stricture is one of the most complex and difficult-to-treat types of stricture in reconstructive urology. It involves a large part or the entire length of this channel, usually referring to strictures longer than 10 cm. Although it is less common than localized strictures, it can seriously impair the patient’s qualit

Urethroplasty is considered one of the most successful open surgical methods for the permanent treatment of urethral stricture. However, it is important to remember that the success of the surgery itself is only one part of the process. How you manage the recovery period after urethroplasty also plays a major role in achieving long-term healing. After surgery, our patients naturally have many questions, and the first ones are usually: “When will I return to normal?”“Will I ha

Female Urethral Stricture: An Invisible but Real Problem Female urethral stricture is a condition caused by narrowing of the channel through which urine exits the bladder, and it is often overlooked. Because it is commonly perceived as a “male disease,” the diagnosis in women is often delayed. However, the reality is this: this condition is not rare; it is simply underrecognized. Many patients receive different diagnoses for years and use various medications, yet their sympto

Which Parts Make Up the Urethra? In clinical practice, the urethra is divided into two main groups. The penile and bulbar urethra are referred to as the anterior urethra , while the prostatic and membranous urethra are referred to as the posterior urethra . This distinction forms the basis of treatment planning. How Is Treatment Determined in Urethral Stricture? Treatment of urethral stricture is planned individually for each patient. The location and length of the strict