Urethral Stricture: The Daily PANCE Blueprint

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Urethral Stricture: The Daily PANCE Blueprint

A 32-year-old male with a history of frequent sexually transmitted infections presents to the clinic complaining of issues with urination. He states that he is straining to urinate and has a weak stream when he does. Which of the following is the most likely diagnosis?

A. Benign prostatic hyperplasia
B. Prostatitis
C. Urethral stricture
D. Meatal stenosis
E. Urinary tract infection

Answer and topic summary

The answer is C. Urethral stricture

A urethral stricture is defined as a narrowing of the urethra with subsequent restrictions in urinary flow. Causes include frequent infection, congenital, traumatic, iatrogenic, etc. Clinical features vary and may include weak stream, straining to urinate, pain, and frequent UTIs. A retrograde urethrography/voiding cystourethrography can be used to visualize the urethral strictures. Treatment is either internal urethrotomy, urethroplasty (if urethrotomy doesn’t work), or urethral stents (usually for shorter strictures).

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Covered under ⇒ PANCE Blueprint Genitourinary ⇒ Urethral disorders ⇒ Urethral Stricture

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