Urethral stricture

From greek.doctor

Urethral stricture is a fibrotic narrowing of urethra.

Etiology

  • Trauma
  • Iatrogenic
    • Catheterization
    • Instrumentation
    • Inappropriate removal of Foley catheter
  • Congenital
  • Idiopathic
  • Post-infectious

Clinical features

  • Causes partial or complete lower urinary tract obstruction
  • Slow urinary stream
  • Incomplete bladder emptying
  • Dribbling

Diagnosis

  • Uroflowmetry
    • Shows a plateau
  • Retrograde and voiding urethrography

Treatment

  • Urethral dilation
    • Symptomatic, not curative
  • Urethrotomy
    • Endoscopic incision of stricture
    • Stricture frequently recurs
  • Urethroplasty
    • Open surgical reconstruction of stricture
    • If urethrotomy fails