Urethral Stricture

Question 1

Initial workup for stricture

Answer 1

History and PE
UA
IPSS
Uroflow
PVR
Cysto or RUG or VCUG or US to determine length and location

Question 2

Indications for dilation/DVIU

Answer 2

urgent need
<2cm bulbar stricture
first time fossa stricture
Not a candidate for urethroplasty
remove catheter 72 hrs later

Question 3

General options for stricture treatment

Answer 3

Dilation/DVIU
Urethroplasty (Substitution or staged or single state)
Perineal urethrostomy
SPT