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Bulbar urethral stricture

MedGen UID:
1372596
•Concept ID:
C4476765
•
Pathologic Function
HPO: HP:0025415

Definition

A type of urethral stricture affecting the bulbar urethra, which is the part of the urethra that traverses the root of the penis. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVBulbar urethral stricture

Professional guidelines

PubMed

Single-surgeon experience of excision and primary anastomosis for bulbar urethral stricture: analysis of surgical and patient-reported outcomes.
Horiguchi A, Ojima K, Shinchi M, Hirano Y, Hamamoto K, Ito K, Asano T, Takahashi E, Kimura F, Azuma R
World J Urol 2021 Aug;39(8):3063-3069. Epub 2021 Jan 3 doi: 10.1007/s00345-020-03539-8. PMID: 33388917
A Critical Analysis of Bulbar Urethroplasty Stricture Recurrence: Characteristics and Management.
Kahokehr AA, Granieri MA, Webster GD, Peterson AC
J Urol 2018 Dec;200(6):1302-1307. Epub 2018 Sep 4 doi: 10.1016/j.juro.2018.07.036. PMID: 30012364
Repeat Excision and Primary Anastomotic Urethroplasty for Salvage of Recurrent Bulbar Urethral Stricture.
Siegel JA, Panda A, Tausch TJ, Meissner M, Klein A, Morey AF
J Urol 2015 Nov;194(5):1316-22. Epub 2015 May 21 doi: 10.1016/j.juro.2015.05.079. PMID: 26003205

Recent clinical studies

Etiology

Outcomes of transecting versus non-transecting urethroplasty for bulbar urethral stricture: a meta-analysis.
Oszczudlowski M, Yepes C, Dobruch J, Martins FE
BJU Int 2023 Sep;132(3):252-261. Epub 2023 Jul 6 doi: 10.1111/bju.16108. PMID: 37402622
Buccal mucosa graft urethroplasty for bulbar urethral stricture: Outcomes andpredictive factors affecting success.
Güler Y
Actas Urol Esp (Engl Ed) 2023 Mar;47(2):78-86. Epub 2022 Aug 10 doi: 10.1016/j.acuroe.2022.08.014. PMID: 37078848
Bulbar Urethral Stents for Bulbar Urethral Strictures: Long-Term Follow-Up after Stent Removal.
Üstüner M, Teke K, Bosnalı E, Kara Ö, Çiftçi S, Çulha MM
Urol Int 2022;106(3):243-248. Epub 2021 May 5 doi: 10.1159/000514417. PMID: 33951663
A Critical Analysis of Bulbar Urethroplasty Stricture Recurrence: Characteristics and Management.
Kahokehr AA, Granieri MA, Webster GD, Peterson AC
J Urol 2018 Dec;200(6):1302-1307. Epub 2018 Sep 4 doi: 10.1016/j.juro.2018.07.036. PMID: 30012364
Lichen sclerosus and isolated bulbar urethral stricture disease.
Liu JS, Walker K, Stein D, Prabhu S, Hofer MD, Han J, Yang XJ, Gonzalez CM
J Urol 2014 Sep;192(3):775-9. Epub 2014 Mar 21 doi: 10.1016/j.juro.2014.03.090. PMID: 24657836

Diagnosis

Urethral Stricture Disease Guideline Amendment (2023).
Wessells H, Morey A, Souter L, Rahimi L, Vanni A
J Urol 2023 Jul;210(1):64-71. Epub 2023 Apr 25 doi: 10.1097/JU.0000000000003482. PMID: 37096574
Contrast-Enhanced Ultrasound and Shear Wave Elastography: Novel Methods for the Evaluation of Urethral Stricture Disease.
Chung PH, Leong JY, Machado P, Wessner CE, Trabulsi EJ, Halpern EJ, Eisenbrey JR, Forsberg F
J Urol 2022 Jan;207(1):152-160. Epub 2021 Aug 24 doi: 10.1097/JU.0000000000002146. PMID: 34428090
Is pre-referral management of anterior urethral strictures prior to urethroplasty appropriate?
Ojima K, Horiguchi A, Shinchi M, Hirano Y, Hamamoto K, Kimura F, Takahashi E, Asano T, Ito K, Azuma R
Int J Urol 2021 Apr;28(4):404-409. Epub 2020 Dec 30 doi: 10.1111/iju.14480. PMID: 33378793
A Critical Analysis of Bulbar Urethroplasty Stricture Recurrence: Characteristics and Management.
Kahokehr AA, Granieri MA, Webster GD, Peterson AC
J Urol 2018 Dec;200(6):1302-1307. Epub 2018 Sep 4 doi: 10.1016/j.juro.2018.07.036. PMID: 30012364
Lichen sclerosus and isolated bulbar urethral stricture disease.
Liu JS, Walker K, Stein D, Prabhu S, Hofer MD, Han J, Yang XJ, Gonzalez CM
J Urol 2014 Sep;192(3):775-9. Epub 2014 Mar 21 doi: 10.1016/j.juro.2014.03.090. PMID: 24657836

Therapy

Outcomes of transecting versus non-transecting urethroplasty for bulbar urethral stricture: a meta-analysis.
Oszczudlowski M, Yepes C, Dobruch J, Martins FE
BJU Int 2023 Sep;132(3):252-261. Epub 2023 Jul 6 doi: 10.1111/bju.16108. PMID: 37402622
Non-Transecting Anastomotic Bulbar Urethroplasty For Urethral Stricture Disease-Experience From A Highvolume Specialist Centre.
Memon I, Soomro KQ, Rajpar ZH, Abdullah A
J Ayub Med Coll Abbottabad 2020 Jan-Mar;32(1):99-103. PMID: 32468766
A Critical Analysis of Bulbar Urethroplasty Stricture Recurrence: Characteristics and Management.
Kahokehr AA, Granieri MA, Webster GD, Peterson AC
J Urol 2018 Dec;200(6):1302-1307. Epub 2018 Sep 4 doi: 10.1016/j.juro.2018.07.036. PMID: 30012364
Substitution urethroplasty using oral mucosa graft for male anterior urethral stricture disease: Current topics and reviews.
Horiguchi A
Int J Urol 2017 Jul;24(7):493-503. Epub 2017 Jun 10 doi: 10.1111/iju.13356. PMID: 28600871
SIU/ICUD Consultation on Urethral Strictures: Anterior urethra--primary anastomosis.
Morey AF, Watkin N, Shenfeld O, Eltahawy E, Giudice C
Urology 2014 Mar;83(3 Suppl):S23-6. Epub 2013 Dec 27 doi: 10.1016/j.urology.2013.11.007. PMID: 24373726

Prognosis

Buccal mucosa graft urethroplasty for bulbar urethral stricture: Outcomes andpredictive factors affecting success.
Güler Y
Actas Urol Esp (Engl Ed) 2023 Mar;47(2):78-86. Epub 2022 Aug 10 doi: 10.1016/j.acuroe.2022.08.014. PMID: 37078848
Bulbar Urethral Stents for Bulbar Urethral Strictures: Long-Term Follow-Up after Stent Removal.
Üstüner M, Teke K, Bosnalı E, Kara Ö, Çiftçi S, Çulha MM
Urol Int 2022;106(3):243-248. Epub 2021 May 5 doi: 10.1159/000514417. PMID: 33951663
Magnetic Resonance Imaging Findings of Traumatic Bulbar Urethral Stricture Help Estimate Repair Complexity.
Horiguchi A, Edo H, Soga S, Azuma R, Shinchi M, Ojima K, Asano T, Ito K, Shinmoto H
Urology 2020 Jan;135:146-153. Epub 2019 Oct 15 doi: 10.1016/j.urology.2019.09.036. PMID: 31626854
A Critical Analysis of Bulbar Urethroplasty Stricture Recurrence: Characteristics and Management.
Kahokehr AA, Granieri MA, Webster GD, Peterson AC
J Urol 2018 Dec;200(6):1302-1307. Epub 2018 Sep 4 doi: 10.1016/j.juro.2018.07.036. PMID: 30012364
Lichen sclerosus and isolated bulbar urethral stricture disease.
Liu JS, Walker K, Stein D, Prabhu S, Hofer MD, Han J, Yang XJ, Gonzalez CM
J Urol 2014 Sep;192(3):775-9. Epub 2014 Mar 21 doi: 10.1016/j.juro.2014.03.090. PMID: 24657836

Clinical prediction guides

Long-Term Outcomes of Recurrent Bulbar Urethral Stricture Treatment With the Optilume Drug-Coated Balloon: Five-Year Results From the ROBUST I Study.
DeLong J, Virasoro R, Pichardo M, Estrella R, Rodríguez Lay R, Espino G, Elliott S
J Urol 2025 Jan;213(1):90-98. Epub 2024 Aug 30 doi: 10.1097/JU.0000000000004229. PMID: 39213367
Buccal mucosa graft urethroplasty for bulbar urethral stricture: Outcomes andpredictive factors affecting success.
Güler Y
Actas Urol Esp (Engl Ed) 2023 Mar;47(2):78-86. Epub 2022 Aug 10 doi: 10.1016/j.acuroe.2022.08.014. PMID: 37078848
Erectile and voiding function outcomes after buccal mucosa graft urethroplasty for long-segment bulbar urethral stricture: ventral versus dorsal onlay technique.
Shalkamy O, Elatreisy A, Salih E, Safar O, Aljubran A, Abouelgreed TA, Khogeer A, Ibrahim A
World J Urol 2023 Jan;41(1):205-210. Epub 2022 Dec 2 doi: 10.1007/s00345-022-04220-y. PMID: 36460798
Is pre-referral management of anterior urethral strictures prior to urethroplasty appropriate?
Ojima K, Horiguchi A, Shinchi M, Hirano Y, Hamamoto K, Kimura F, Takahashi E, Asano T, Ito K, Azuma R
Int J Urol 2021 Apr;28(4):404-409. Epub 2020 Dec 30 doi: 10.1111/iju.14480. PMID: 33378793
Magnetic Resonance Imaging Findings of Traumatic Bulbar Urethral Stricture Help Estimate Repair Complexity.
Horiguchi A, Edo H, Soga S, Azuma R, Shinchi M, Ojima K, Asano T, Ito K, Shinmoto H
Urology 2020 Jan;135:146-153. Epub 2019 Oct 15 doi: 10.1016/j.urology.2019.09.036. PMID: 31626854

Recent systematic reviews

Free Graft Augmentation Urethroplasty for Bulbar Urethral Strictures: Which Technique Is Best? A Systematic Review.
Barratt R, Chan G, La Rocca R, Dimitropoulos K, Martins FE, Campos-Juanatey F, Greenwell TJ, Waterloos M, Riechardt S, Osman NI, Yuan Y, Esperto F, Ploumidis A, Lumen N; European Association of Urology Urethral Strictures Guidelines Panel
Eur Urol 2021 Jul;80(1):57-68. Epub 2021 Apr 17 doi: 10.1016/j.eururo.2021.03.026. PMID: 33875306

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