A urethral stricture is a narrowing of the urethra that can cause weak stream, straining, spraying, recurrent urinary infection and incomplete emptying.
Causes can include previous instrumentation, infection, trauma and other inflammatory or iatrogenic factors. Evaluation depends on symptoms, history and the suspected location and length of narrowing.
Tests may include uroflowmetry, retrograde/antegrade urethrography and cystoscopy depending on the case. DVIU is an option for selected strictures, while recurrent or complex strictures may require reconstructive planning.
Some strictures recur after endoscopic treatment. A recurrent stricture should be reassessed rather than repeatedly treated without understanding the underlying anatomy.
Complete obstruction or inability to pass urine requires urgent assessment and bladder drainage when necessary.
Treatment selection depends on stricture site, length, severity, prior procedures and local expertise.
Treatment decisions are individualized after appropriate clinical assessment.
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