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Urethral Stricture Disease

Reviewed 06/2019
 


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

  • Incont...

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 (4)[C]

  • Consider history and uroflowmetry routinely to evaluate for recurrence (4)[C].

  • If symptoms rec...

REFERENCES

1
Santucci RA, Joyce GF, Wise M. Male urethral stricture disease. J Urol.  2007;177(5):1667–1674. [View Abstract on OvidMedline]
2
Fenton AS, Morey AF, Aviles R, et al. Anterior urethral ...

ADDITIONAL READING

Jordan GH, McCammon KA. Surgery of the penis and urethra. In: Wein AJ, Louis R, eds. Campbell-Walsh Urology. 10th ed. Philadelphia, PA: Saunders-Elsevier; 2012. [View Abstract on ...

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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