Urethral stricture
ICD-10 N35 · ICD-11 GC03

Treatment of Obliterative Post-Traumatic Posterior Urethral Stenosis in Males

Obliterative post-traumatic posterior urethral stenosis in male patients represents a distinct and surgically challenging subset of urethral stricture disease. The approach in this scenario differs fundamentally from endoscopic management strategies.

Clinical scenario

Male patient with obliterative post-traumatic posterior urethral stenosis. Endoscopic treatment is not appropriate for this presentation — a specific open surgical approach via a perineal route is recommended.

Surgical approach (overview)

Management involves a perineal surgical procedure aimed at excising the obliterated segment and restoring urethral continuity through primary anastomosis. The full sequence, technical steps, and perioperative details are contained in the complete protocol.

Full regimen, algorithm, and technical details available via the link below.

References

  • Do not perform endoscopic treatment for an obliterative stenosis.
  • Perform progressive perineal excision and primary anastomosis (EPA) for obliterative stenosis.
  • Perform a midline perineal incision to gain access to the posterior urethra.
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