Urethral Stricture in Males: Non-Obliterative Radiation-Induced Bulbomembranous Stricture
This protocol covers the management of urethral stricture specifically in male patients presenting with a non-obliterative radiation-induced stricture at the bulbomembranous segment — a subtype requiring a targeted surgical approach.
Clinical Scenario
Male patient with a non-obliterative urethral stricture localised to the bulbomembranous urethra, arising as a consequence of prior radiation. The non-obliterative nature and radiation aetiology are central to treatment selection in this scenario.
Treatment Approach (Partial Overview)
Definitive management involves surgical urethroplasty, with technique selection depending on stricture characteristics.
The complete structured regimen — including specific technique options, selection criteria, and the full clinical decision pathway — is available in the full protocol below.
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).
- Use either excision and primary anastomosis or augmentation urethroplasty for short (< 2.5 cm) radiation-induced BMS refractory to endoscopic treatment depending on surgeon's experience.
- Perform augmentation urethroplasty for long (> 2.5 cm) radiation-induced BMS.
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