Urethral Stricture
ICD-10 N35 · ICD-11 GC03

Radiation-Induced Bulbomembranous Urethral Stricture in Males with Poor Performance Status

Clinical Scenario

This protocol applies to male patients who have developed a bulbomembranous urethral stricture as a consequence of prior radiation, and/or who present with poor performance status that limits more invasive management options.

Key consideration: Radiation-induced bulbomembranous strictures, particularly in the context of reduced patient fitness, represent a distinct management challenge where standard reconstructive or endoscopic approaches may carry heightened risk.
Treatment Approach

For this specific population, the evidence-based approach centres on a long-term drainage strategy to ensure adequate urinary outflow while minimising procedural burden. The complete protocol — including patient selection criteria, procedural specifics, and follow-up — is available via the link below.

Instant Access to Structured Evidence-Based Regimens
References

Consider long-term suprapubic catheter in patients with radiation-induced bulbomembranous strictures and/or poor performance status.

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