Treatment of Radiation-Induced Bulbomembranous Urethral Stricture in Male Patients

This protocol applies to male patients with a non-obliterative, radiation-induced urethral stricture at the bulbomembranous level — a distinct clinical subtype arising as a sequela of pelvic radiation therapy.

Clinical scenario

Male sex; non-obliterative radiation-induced bulbomembranous urethral stricture. The aetiology (radiation-induced) and degree of luminal preservation (non-obliterative) are the key determinants of the first-line approach.

First-line management

An endoscopic, visually guided approach is the recommended first-line intervention for this non-obliterative stricture subtype. The specific technique, patient-selection criteria, and follow-up strategy are detailed in the full protocol.

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References

Perform visually controlled dilatation or direct vision internal urethrotomy (DVIU) as 1st line-treatment for a non-obliterative vesico-urethral anastomosis stricture (VUAS) or radiation-induced bulbomembranous strictures (BMS).

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