Urethral stricture
ICD-10 N35 · ICD-11 GC03

Treatment of Non-Obliterative Post-Traumatic Posterior Urethral Stenosis in Male Patients

This protocol addresses urethral stricture management specifically in male patients with non-obliterative post-traumatic posterior urethral stenosis — where trauma has narrowed the posterior urethra without fully obliterating the lumen.

Clinical scenario
Male sex Non-obliterative stenosis Post-traumatic Posterior urethra
For a short, non-obliterative posterior urethral stenosis, one attempt at endoluminal treatment is the initial step. When this does not achieve the intended outcome, the management pathway escalates to a surgical perineal approach.
Approach overview partial
After failed endoluminal treatment, management involves a perineal surgical technique to access and address the posterior urethral stenosis. The complete procedure, including the specific steps of the surgical approach and the full clinical algorithm, is available in the structured protocol below.
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References

  • Perform one attempt at endoluminal treatment for a short, non-obliterative stenosis.
  • Perform progressive perineal EPA for non-obliterative stenosis after failed endoluminal treatment.
  • Perform a midline perineal incision to gain access to the posterior urethra.
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