HWN Suggests

Narrowing in on urethral strictures

Urethral strictures have affected men for millennia, and they are commonly iatrogenic, idiopathic or traumatic in nature. When left untreated, urethral strictures can devastate the health and function of the urinary tract. For centuries, simple urethral dilation and endoscopic urethrotomy have provided temporary relief. However, in only the past 20 years, urethroplasty has emerged as a curative treatment.

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Articles of Interest

Evidence-Based Approach to Management of Urethral Strictures

Dr. Sukumar concludes that urethroplasty provides patients with the best outcomes, that practitioners should be prepared to adapt since no single type of repair can be presumed to be optimal preoperatively, and that evidence-based management of urethral stricture disease will benefit from better-quality studies.

Guidelines of guidelines: a review of urethral stricture evaluation, management, and follow-up

Overall there is a need for more high quality research in the work up, management, and follow up care of urethral stricture. There is very few large scale, multi-institutional studies leading to consensus high-grade recommendations. Continually improving evidence quality will yield future guidelines with more robustly supported and aligned recommendations.

Lawsuit alleges urethral injury following ED visit

The defense’s urologist opined that the patient had a chronic problem with a urethral stricture and noted that the natural history of chronic strictures involves recurrent procedures designed to dilate the stricture and, at times, require placement of a suprapubic catheter to allow inflammation around the stricture to resolve. After a 7-day trial and jury deliberations of nearly 2 days, the jury returned a verdict 10-2 for the plaintiff on negligence and 12-0 for the defense on causation.

Learn all about Urethral Stricture

Learn all about Urethral Stricture — its causes, symptoms, and modern treatment options — in this insightful session with Dr. Abhik Debnath, leading Urologist at PACE Hospitals.

Management of Anterior Urethral Strictures

Anterior urethral strictures affect the male urethra between the tip of the penis and the apex of the prostate. These form the bulk of urethral strictures in men. The common causes for urethral strictures seem to be idiopathic or related to instrumentation of the urethra. Clinically, patients have varying obstructive symptoms associated with the progressive narrowing of the urethral lumen. Treatment modalities have aimed at incising or excising the fibrous tissue, augmenting the damaged area by grafts or flaps, or more recently, replacing the area with tissue engineered constructs.

Medical Student Curriculum: Urethral Strictures

A urethral stricture is an abnormal narrowing of the anterior urethral lumen due to fibrosis or scarring of the urothelium, but may also involve the corpus spongiosum.

Optilume® for Urethral Strictures: A Comprehensive Review

Urethral stricture disease treatment presents significant challenges due to high recurrence rates and limited minimally invasive options. This review evaluates the efficacy, safety, and clinical applicability of the Optilume® drug-coated balloon, which combines mechanical urethral dilation with paclitaxel delivery, as an innovative alternative to traditional treatments.

Redefining the male urethral stricture treatment paradigm

Approximately 1% of men in the United States will be diagnosed with urethral stricture disease. This incidence increases with advancing age and can be attributed to urethral instrumentation for benign prostatic hyperplasia, cancer-related therapies and other comorbidities that adversely impact male urethral health, such as peripheral vascular disease and hypogonadism.

Troubleshooting Foley Caths and Suprapubic Caths

While standard technique for either male or female foley placement is well-known and straightforward, there are several measures that can be taken to ensure the highest likelihood of first-pass success.

Urethral Stricture Disease

Men are more likely to have a urethral stricture disease or injury because they have a longer urethra than women. In most cases, this constriction of the urethra is caused by injury to the scrotum or perineum, damage from surgical tools such as a urinary catheter or kidney stone removal that cause inflammation or scar tissue.

Urethral Stricture Disease Patient Info

You have been given this leaflet because you have been diagnosed with a urethral stricture (narrowing of your waterpipe). The aim of the leaflet is to provide you with detailed information about what causes urethral stricture disease and how it is treated.

Urethral Stricture Etiology Revisited: An Indian Scenario

Our study and a review of the literature suggest that the distribution of urethral stricture etiology is not uniform across the world. It also varies with age and it may influence the site of stricture in urethra. Our results showed that iatrogenic and idiopathic strictures are surprisingly common. Avoiding unnecessary urethral catheterization and repeated urethral instrumentation can reduce these iatrogenic strictures.

Urethral Stricture in Women

Urethral stricture in women is not so common as compared to men (in whom urethral stricture occurs more often). The condition results in difficulty while urinating, blood in the urine, abdominal pain, and even urinary incontinence.

Urethral Stricture Management in the 21st Century: Treatments for Even the Worst Urethras

Historically, the management of urethral strictures has been an endoscopic approach with either DVIU or dilation. In the past, urologists generally thought these treatments had acceptable success rates. More contemporary data shows that endoscopic treatments for urethral strictures are not initially successful, and never successful thereafter.

Urethral Strictures

In males, a urethral stricture refers to a narrowed segment of the anterior urethra due to a process of fibrosis and cicatrisation of the urethral mucosa and surrounding spongiosus tissue (“spongiofibrosis”). In the male posterior urethra, there is no spongiosus tissue and at this location the terms stenosis is preferred. The definition of meatal stenosis is generally accepted as a short distal narrowing at the meatus, without involvement of the fossa navicularis. There is no universal definition for what constitutes a female urethral stricture (FUS). Female urethral stricture is defined by most authors as a ‘fixed anatomical narrowing’ causing reduced urethral calibre

Resources

StatPearls

Urethral strictures are a common yet often overlooked urological condition characterized by the narrowing of the urethra, which can lead to various urinary symptoms and complications. This condition can be caused by multiple etiologies and varies in severity. Urethral strictures can significantly impact patients' quality of life.