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When abnormally narrowed, the urethra can require a medical procedure called urethral dilation. Individuals who experience frequent urinary problems may have an increased risk of developing bladder cancer. Urethral dilation is a medical procedure in which the urethra is gently stretched with a rubber or metal tube.
Since urinary dilation is not guaranteed to succeed, can lead to discomfort and painful urination afterwards, and can lead to scarring if done incorrectly, some people seek alternative treatments.
With proper training, a patient can perform urethral dilation at home with different sized catheters.
People who self-dilate should be trained by a medical professional to avoid accidentally tearing the urethra or causing an infection. I self dilate with self catheters two or three times daily with non Foley caths which are ch16 and also carry a coloplast speedicath with attached bags when out and about to drain the remainder of my bladder. The doc started me with metal dilators in the hospital and eventually stretched me from about 1-2mm up to 10mm. I have to do intermittent self catheterisation one or twice a week on a permanent basis using a non balloon (not a foley catheter) they come in boxes of 30 in sealed systems including sterile water. In my admittedly vaguely-informed opinion, I'm starting to think that perhaps there could be different sub-types of this disease. My doctor has advised that I try medications first before getting a dilation done and I have to agree with him on this one. I'm not saying it's a bad thing to get a dilation done; it's often necessary, but if you have the option and your doctor is willing, see if you can try other methods first. An abnormal narrowing of the urethra, called a stricture, may inhibit the flow of urine and cause serious health problems, making this procedure necessary. These can be caused by scarring from an injury, repeated bacterial infections like urethritis, a history of Sexually Transmitted Diseases (STDs), or trauma from the insertion of an instrument such as a cystoscope or catheter.

After the patient is prepped with anesthesia, a smooth metal tube is lubricated and carefully slipped into the urethra. One of the most common ones is muscle relaxants to release the muscles controlling urination.
The benefits of doing this include immediate attention to the problem and increased comfort and privacy. All this because I have nerve damage in my back after breaking it 20 odd years ago and a stricture in my urethra. I do this procedure every few months now myself to stay open, but the isc caths are there to stop me closing completely. So far in my research, I've not found much in the way of studies correlating this, but I have a hunch. Considering this, I find it very odd that five women on my mother's side of the family have had this before and I've just been diagnosed at 25 years old and am otherwise completely healthy. It seems like a last resort when other methods have failed because it can, ironically, cause even more scarring, thereby further hindering proper function and almost always needs to be performed frequently. Sometimes an anti-inflammatory drug or antibiotic can reduce the swelling enough to do the trick. It would be really great if some expert advisers can share their thoughts on it to have a permanent solution for this problem.
About a week ago, she had the dilation done, and they just removed the urine pipe but then my mother was not able to start urinating regularly.
My father (age 61) underwent an operation as his urine passage was narrow and urine passing takes around 10 minutes. Though urethral dilation is normally performed by a urologist, with proper training and precautions, it can also be performed by a patient.
Dilation often helps lower the frequency of these ailments because the bacteria causing them cannot build up as easily in a widened urinary passage.

The urologist then repeats the process with incrementally larger sizes of tubes until he or she determines that the urethra is wide enough to easily urinate.
The procedure typically involves gently cleaning the genitals with a soapy washcloth or disinfectant wipe and then slipping a lubricated catheter into the urethra.
All adverse symptoms that occur during self-treatment should be reported to a health care provider immediately. My doctor said that scar tissue could form from the procedure and close the opening again, leading to another surgery. Symptoms of this condition include difficult or painful urination, pelvic pain, and blood in semen or urine.
Patients who cannot urinate due to an extremely severe stricture must seek medical attention immediately, since they could be at risk for a bladder or kidney infection or injury, as the pool or urine may become infected, or abscesses may develop. Self-dilation may drain the bladder; many patients prefer to do this in the bathroom for this reason. The stricture is thought to have been caused by brachytherapy administered in 2008 to deal with prostate cancer. But thereafter every month or every 15 days we have to go in order for dilation (which is a 5 minute work for doctor).But there is no permanent solution for such things? It was the second dilation, the first being carried out in 2010, but without urethrotomy.In the recovery room following the procedure, I experienced discomfort, along with a strong desire to urinate despite a catheter being put in place.
I now face a regime of self-catheterisation three times per week to prevent the recurrence of the stricture.

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