Urethral stricture
ICD-10 N35 · ICD-11 GC03

Penile Urethral Stricture in Men: Treatment Without Lichen Sclerosus

This protocol addresses the management of penile urethral stricture in male patients where lichen sclerosus has been excluded as an underlying cause — a distinction that directly informs the surgical approach.

Clinical scenario: Male patient with a confirmed penile urethral stricture in the absence of lichen sclerosus. Stricture characteristics and any history of prior interventions are taken into account when planning management.

Surgical approach

Evidence-based guidance supports a reconstructive urethroplasty approach for penile urethral stricture in this setting. The choice between available surgical strategies depends on individual stricture characteristics and prior treatment history. The complete structured protocol — including approach selection criteria — is available below.

Instant Access to Structured Evidence-Based Regimens

References

  • Offer men with penile urethral stricture disease augmentation urethroplasty by either a single-stage or staged approach taking into consideration previous interventions and stricture characteristics.
  • Do not use direct vision internal urethrotomy (DVIU) for penile strictures.
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