Urethral stricture

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