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Urethral Stricture Disease

Anna J. Virani, MD and Shweta Akhouri, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

  • A narrowing of the anterior urethral lumen caused by scarring of the corpus spongiosum (spongiofibrosis)

  • A narrowing of the posterior urethra is not a stricture. It is better termed a...

DIAGNOSIS

HISTORY

  • Obstructive voiding symptoms

    • Straining

    • Decreased force of stream

    • Hesitancy

    • Dribbling

    • Incomplete emptying

    • Frequency

  • UTIs including prostatitis and epididymitis

  • Urinary retention

  • Dysuria

  • Incontin...

TREATMENT

GENERAL MEASURES

  • There are no recommended medical treatments.

  • Surgical treatment varies depending on the characteristics of the stricture.

  • Patients should be adequately counseled regarding real...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • RUG at the time of catheter removal to ensure there is no leak (1)[C]

  • Consider history and uroflowmetry routinely to evaluate for recurrence (1)[C].

  • If symptoms r...

REFERENCES

1
Angermeier  KW, Rourke  KF, Dubey  D, et al. SIU/ICUD consultation on urethral strictures: evaluation and follow-up. Urology.  2014;83(Suppl 3):S8–S17. [View A...

CODES

ICD10

  • N35.9 Urethral stricture, unspecified

  • N35.114 Postinfective anterior urethral stricture, NEC

  • N35.013 Post-traumatic anterior urethral stricture

  • N35.8 Other urethral stricture

  • A54.01 Gonococcal ...

CLINICAL PEARLS

  • Anterior urethral stricture is a narrowing of the lumen caused by spongiofibrosis.

  • Caused by trauma, inflammation, or previous urethral surgery

  • Patients often present with obstructive vo...

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