Urethral stricture
ICD-10 N35 · ICD-11 GC03

Short Bulbar Urethral Stricture in Males When Urethroplasty Is Not an Option

This protocol applies to male patients presenting with a short (less than 3 cm) bulbar urethral stricture who are not candidates for urethroplasty — a specific clinical subset that requires a targeted conservative management strategy.

Clinical scenario
  • Male sex
  • Short (< 3 cm) bulbar urethral stricture
  • Ineligibility for urethroplasty
Treatment approach — partial overview The management strategy centres on a patient-performed mechanical procedure, used in combination with a locally applied corticosteroid agent, with the goal of stabilising the stricture when surgical reconstruction is not feasible.

Full selection criteria, procedural details, and the complete evidence-based regimen are available via the structured protocol below.

Instant Access to Structured Evidence-Based Regimens

References

Perform intermittent self-dilatation (ISD) to stabilise the stricture after dilatation/direct vision internal urethrotomy (DVIU) if urethroplasty is not a viable option.

Use intra-urethral corticosteroids in addition to ISD to stabilise the urethral stricture.

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