Treatment of Urethral Stricture in Males with Non-Obliterative Vesico-Urethral Anastomosis Stricture
This protocol addresses urethral stricture in male patients where the stricture is located at the vesico-urethral anastomosis (VUAS) and is non-obliterative in nature. The specific anatomy and patency status of the stricture shape the recommended treatment approach.
Clinical Scenario
The patient is male with a non-obliterative vesico-urethral anastomosis stricture (VUAS). For this stricture type, guidelines recommend visually controlled dilatation or direct vision internal urethrotomy (DVIU) as the first-line endoluminal intervention.
Treatment Approach
The protocol involves repeat endoluminal treatment in an attempt to stabilise the stricture. The full structured sequence — including the criteria, timing, and endpoints — is available in the complete protocol.
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).
- Perform repeat endoluminal treatments in non-obliterative VUAS or BNS in an attempt to stabilise the stricture.