View source for Urethral stricture

==Background==
[[File:Gray1142.png |thumb|Urethral anatomy.]]
*Occurs relatively commonly in men
*Most common etiology is idiopathic in well-resourced countries, traumatic in resource-poor regions<ref>Wessells H, Angermeier KW, Elliott S, Gonzalez CM, Kodama R, Peterson AC, Reston J, Rourke K, Stoffel JT, Vanni AJ, Voelzke BB, Zhao L, Santucci RA. Male Urethral Stricture: American Urological Association Guideline. J Urol. 2017 Jan;197(1):182-190. doi: 10.1016/j.juro.2016.07.087. Epub 2016 Aug 3. PMID: 27497791.</ref>
*Other common etiologies include instrumentation, infection, and inflammatory skin conditions

==Clinical Features==
*Chronic obstructive voiding symptoms
*Sexual dysfunction

==Complications==
*Acute [[urinary retention]]
*[[Urolithiasis]]
*[[Urinary tract infection]]
*Urethral fistula
*Periurethral abscess

==Differential Diagnosis==
*[[Benign prostatic hyperplasia]]

==Evaluation==
===Workup===

===Diagnosis===
*Should undergo cystourethroscopy, retrograde urethrogram, voiding cystourethrogram, and/or ultrasound urethrography<ref>Wessells H, Angermeier KW, Elliott S, Gonzalez CM, Kodama R, Peterson AC, Reston J, Rourke K, Stoffel JT, Vanni AJ, Voelzke BB, Zhao L, Santucci RA. Male Urethral Stricture: American Urological Association Guideline. J Urol. 2017 Jan;197(1):182-190. doi: 10.1016/j.juro.2016.07.087. Epub 2016 Aug 3. PMID: 27497791.</ref>
*Noninvasive studies cannot definitively diagnose

==Management==
*Treat resulting complications
*No absolute contraindication for treatment of urethral strictures
**Options for treatment include minimally invasive therapies, urinary diversion procedures, and surgical reconstruction (eg, urethroplasty)
*Consult urology

==Disposition==

==See Also==


==External Links==


==References==
<references/>

[[Category:Urology]]