Editing AUA: Urethral Stricture Disease (2023) (section)

=== Diagnosis and Evaluation ===
*History and Physical Exam
**History
***Storage or voiding symptoms
****LUTS
*****Hesitancy, poor flow, frequency urgency
****Recurrent UTI
****Urethral pain
****Acute urinary retention
***Can impact QoL
**Physical exam
***Pelvic exam
*Labs
**Urinalysis +/- culture
*Imaging
**Endourethral MRI, ultrasonogram, and CT scan can confirm presence of periurethral fibrosis and exclude associated abnormalities
*Other
**Post-void residual
***High PVR
*An inability to pass even a small catheter due to stenosis in the distal urethra is suggestive of the diagnosis of stricture, although the caliber of the female urethra at which pathological conditions may arise is unknown.