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

== Pelvic fracture urethral injury (PFUI)==
*'''Retrograde urethrography with voiding cystourethrogram and/or retrograde + antegrade cystoscopy should be used for preoperative planning of delayed urethroplasty after PFUI'''
**'''The VCUG may include a static cystogram to determine the competency of the bladder neck mechanism and the level of the bladder neck in relation to the symphysis pubis.'''
*'''The acute treatment of PFUI includes endoscopic primary catheter realignment or insertion of a SP tube. The resulting distraction defect, stenosis or obliteration should be managed with delayed perineal anastomotic urethroplasty.'''
*'''Delayed urethroplasty, instead of delayed endoscopic procedures, should be performed after urethral obstruction/obliteration due to PFUI'''
**Repeated endoscopic maneuvers including intermittent catheterization should be avoided because they are not successful in the majority of PFUI, increase patient morbidity, and may delay the time to anastomotic reconstruction.
*Definitive urethral reconstruction for PFUI should be planned only after major injuries stabilize and patients can be safely positioned for urethroplasty.