Treatment of Short (≤ 3 cm) Bulbar Urethral Stricture Not Related to Straddle Injury in Males

This protocol targets a distinct clinical subset: male patients with a short bulbar urethral stricture — ≤ 3 cm in length — where the aetiology is not a straddle injury. Stricture length, location, and mechanism of injury together inform the choice of surgical approach in this population.

Clinical Scenario

Male sex · Bulbar urethral stricture ≤ 3 cm · Aetiology other than straddle injury. The narrowing is located in the bulbar segment of the urethra. The absence of a straddle-injury mechanism is clinically relevant in determining which reconstructive technique is appropriate.

Surgical Approach — partial overview

Surgical reconstruction is the recommended approach for this scenario. Established techniques include a non-transecting form of repair or a graft-based urethroplasty — the complete protocol with procedure selection and full operative details is in the structured regimen below.

Instant Access to Structured Evidence-Based Regimens

References

Use non-transecting excision and primary anastomosis or free graft urethroplasty instead of tEPA for short bulbar strictures not related to straddle injury.

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