Specialized Urethral Stricture & Reconstructive Surgery Center
Definitive evaluation and advanced treatment options, including urethral reconstruction (urethroplasty) for all types of urethral strictures.
National Referral Expert in Urethral Reconstruction
Who we are
A Dedicated Unit for Advanced Urethral Reconstruction
This center is entirely dedicated to the diagnosis and treatment of urethral stricture disease.
Patients referred here often present with recurrent strictures after previous treatment and require urethral reconstruction (urethroplasty), including in complex cases or after multiple prior unsuccessful procedures.
Each case undergoes precise anatomical assessment in order to define a durable reconstructive strategy rather than temporary relief.
Evaluation includes history, examination, and targeted endoscopic and imaging studies to define the stricture.
Treatment tailored to anatomy, prior history, and patient expectations.
Academic Recognitions & Professional Affiliations
Urethral stricture disease requires more than repeated endoscopic (endourethral) treatments such as dilation or direct vision internal urethrotomy (DVIU), which are associated with limited success and low long-term efficacy.
A structured reconstructive approach using urethroplasty—particularly with buccal mucosa grafts—aims to restore normal anatomy and urinary function while minimizing recurrence.
Experience in Urethral Surgery
Urethroplasties Performed
Patient referral across France and worldwide.
European Reconstructive Collaborations
Professional Experience
Focused on urethral stricture disease and urethroplasty.
SPECIALIZED CARE
Experience in Complex & Recurrent Urethral Conditions
Professor Madec regularly manages:
– Recurrent strictures after urethrotomy
– Long bulbar or penile strictures
– Posterior urethral stenosis (VUAS, bladder neck contracture)
– Post-hypospadias adult reconstruction
– Lichen sclerosus–related disease
– Multi-operated complex cases
Each patient receives detailed counseling and a reconstruction-oriented plan focused on durable results.
Premium Services
Specialized Urethral Reconstruction Services for Complex Cases
Advanced diagnostic evaluation and definitive surgical management performed in a dedicated tertiary reconstructive center.
Diagnosis of urethral stricture is based on several complementary steps, including symptom assessment, medical history, clinical examination, and patient-reported outcome questionnaires.
Dedicated investigations such as uroflowmetry, flexible cystoscopy, retrograde and voiding urethrography, CT urethrography, and urethral MRI help define the exact location, length, and severity of the stricture before treatment planning.
Selected short or first-time strictures may be managed with minimally invasive options, including urethral dilation, internal urethrotomy, and drug-coated balloon dilation (Optilume®), with appropriate discussion of recurrence risk.
Urethroplasty includes the full range of reconstructive techniques, from excision and primary anastomosis to buccal mucosa graft urethroplasty, perineal urethrostomy, and advanced redo urethral reconstruction, tailored to stricture characteristics.
Management of complex cases including post-hypospadias strictures, bladder neck contracture after BPH surgery, and post–prostate cancer stenosis (including vesicourethral anastomotic stenosis and radiation-induced strictures).
A dedicated video guide provides a clear explanation of urethral stricture disease from A to Z, including symptoms, diagnostic work-up, and treatment options.
Why does urethral stricture come back after dilation, urethrotomy, or other urethral instrumentation?
Endoscopic treatments for urethral stricture (urethral narrowing) — including dilation and urethrotomy — were historically the only available options, but they are largely palliative rather than curative. They often create a temporary improvement in urinary flow, giving an illusion of success, while promoting further scar formation (spongiofibrosis) and recurrence.
Despite their simplicity and widespread use, repeated endoscopic treatments can worsen the disease. This is why modern management limits their use and prioritizes definitive solutions such as urethroplasty.
Urethral stricture: narrowing of the urinary channel due to fibrotic scarring.
Urethral repair after urethroplasty: re-opening and widening of the urinary channel following effective treatment of urethral stricture.
Why Choose Us
Patients and Referring Physicians Trust Our Reconstructive Expertise
Over 15 years of clinical experience focused on urethral stricture disease and urethroplasty, supported by active research and academic involvement.
Comprehensive imaging and endoscopic evaluation ensure accurate classification before treatment planning.
Each case is carefully evaluated to offer durable reconstructive solutions rather than repeated temporary procedures.
Nationally recognized expert in urethral reconstruction, receiving complex referrals from across France and Europe.
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