Urethral stricture
ICD-10 N35 · ICD-11 GC03

Short (< 3 cm) Bulbar Urethral Stricture in Males Ineligible for Urethroplasty

This protocol addresses male patients with a short (< 3 cm) bulbar urethral stricture in whom urethroplasty is not a viable option — a scenario that requires a specific interventional approach distinct from standard surgical repair.

Clinical Scenario

Male patient with a confirmed short (< 3 cm) bulbar urethral stricture who is ineligible for urethroplasty. When standard endoscopic treatments have produced recurrence, this constraint determines which next steps are appropriate and evidence-based.

Approach Overview

For appropriately selected patients in this scenario, a drug-coated balloon-based intervention is among the options considered after multiple prior endoscopic treatments have failed to provide lasting patency. A temporary intraluminal device is an alternative option to extend the interval before recurrence. Full eligibility criteria, treatment sequencing, and procedural guidance are in the complete protocol.

Dosages, full algorithm, and selection criteria are available in the full regimen below.

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References

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