Treatment of Meatal Stenosis, Fossa Navicularis, or Distal Urethral Stricture in Male Patients

This protocol applies to male patients with urethral stricture disease located at or near the meatus — specifically meatal stenosis, fossa navicularis involvement, or a stricture confined to the distal urethra. The anatomical position of the narrowing defines this distinct subgroup and guides the management pathway.

Guideline evidence supports an open surgical approach targeting the distal urethra in this patient group.

The full protocol specifies which reconstructive procedure to offer and under what circumstances — details including the precise surgical options, their selection criteria, and any stepwise decision points are available in the structured regimen below.