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Bulbar Strictures. One of the most common locations for patients to experience a urethral stricture is the bulbar urethra. Also called the bulbous urethra, this portion of the urethra is found under the scrotum in an area called the perineum.
A urethral (u-REE-thrul) stricture involves scarring that narrows the tube that carries urine out of the body, called the urethra. As a result of a stricture, less urine comes out of the bladder. This can cause problems in the urinary tract, such as infection.
Treatment might depend on the type of stricture, its size and how bad the symptoms are. Treatments can include: Catheterization. Putting a small tube called a catheter into the bladder to drain urine is often the first step for treating urine blockage. Antibiotics treat an infection if there is one.
Endoscopic management is an initial strategy for managing short bulbar strictures, but guidelines suggest against repeated use given failure rates of >80% with repeated endoscopic treatment. Urethroplasty is the gold standard for the repair of bulbar urethral strictures of any length.
The clinical guideline on urethral stricture provides a clinical framework for the diagnosis of urethral stricture and includes discussion of initial management, urethroplasty, reconstruction, contracture, stenosis, special circumstances, and post-operative follow-up care.
A urethral stricture occurs when scar tissue develops in your urethra. It can affect anyone, but it occurs more often if you have a penis and are older than 55. It can also cause frustrating and even life-threatening problems, including trouble peeing.
The American Urological Association Guideline on Urethral Strictures recommends urethral dilation, DVIU, or urethroplasty as reasonable initial therapeutic options for short (<2 cm) bulbar urethral strictures.