Editing AUA: Male Urethral Stricture (2016) (section)

==Diagnosis and Evaluation/Preoperative Assessment==
*'''Mandatory (2): history and physical exam, urinalysis'''
#'''History and Physical Exam'''
#*'''History'''
#**Consider urethral stricture in the differential diagnosis of men who present with:#**#Decreased urinary stream
#**#Incomplete emptying
#**#Dysuria
#**#Urinary tract infection (UTI)
#**# Rising post void residual.
#** '''Assess preoperative erectile function and urinary continence'''
#**'''In the case of pelvic fracture urethral injury (PFUI), document all associated injuries and angiographic embolization of any pelvic vessels'''
#*'''Physical exam'''
#**'''Abdomen, genitals, digital rectal exam, and assessment of lower extremity mobility for operative positioning.'''
#'''Laboratory'''
#*'''Urinalysis'''*'''Optional (3): uroflowmetry, post-void residual, and patient reported measures'''

*'''Clinicians planning non-urgent intervention for a known stricture should determine the length and location of the urethral stricture by (4):'''
#'''Cystourethrscopy'''
#'''Retrograde urethrography'''#*See Figures of retrograde urethrogram demonstrating post-radiation stricture
#'''Voiding cystourethrography'''
# '''Ultrasound urethography'''
*'''Males with a urethral stricture who have been managed with either an indwelling urethral catheter or self-dilation should generally undergo suprapubic cystostomy placement prior to imaging'''.
**This allows the full length of the stricture to develop, and accurate determination of definitive treatment options
**'''A period of “urethral rest” between 4-12 weeks allows the stricture to mature prior to evaluation and management'''.
*** A similar period of observation is recommended before reassessing a stricture after failure or dilation or DVIU.