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Management of Stricture urethra

Management of urethral stricture involves both non-surgical and surgical approaches tailored to the stricture's location, length, and severity. Initial treatment often includes minimally invasive techniques such as urethral dilation or direct visual internal urethrotomy (DVIU), which temporarily widen the narrowed area. For recurrent or longer strictures, surgical options provide more definitive solutions. Urethroplasty, the gold standard for treating urethral strictures, involves excising the scarred segment and reconstructing the urethra, often with tissue grafts from the buccal mucosa. In cases where the stricture is complex or involves significant scarring, staged urethroplasty may be necessary. Endoscopic procedures offer less invasive alternatives but generally have higher recurrence rates. Post-operative care includes catheterization to ensure proper healing and may involve periodic monitoring with uroflowmetry and imaging studies to detect any recurrence early. Optimal management requires a personalized approach, considering the stricture's characteristics and the patient's overall health and preferences. Regular follow-up is essential to ensure long-term success and manage potential recurrences.