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ETIOLOGY OF URETHRAL STRICTURE: A TERTIARY CENTER'S EXPERIENCE
Miodrag Aćimović1,2, Veljko Šantric1,2, Nebojša Prijović1
1Clinic of Urology, University Clinical Center of Serbia, Belgrade, Serbia.
Acta Clinica Croatica
|December 4, 2025
Summary
Urethral catheterization is the primary cause of urethral stricture, a condition often affecting the penile urethra. Careful catheterization techniques are essential for preventing this common urological issue.
Area of Science:
- Urology
- Surgical Pathology
Background:
- Urethral stricture is a complex condition with evolving etiological factors influenced by geography and socioeconomic status.
- Understanding these factors is crucial for effective prevention and treatment strategies.
Purpose of the Study:
- To analyze the etiological factors and localization of urethral strictures in patients undergoing urethroplasty.
- To identify the most common causes and anatomical sites affected by urethral stricture.
Main Methods:
- Retrospective data collection from 146 patients who underwent urethroplasty for urethral stricture between 2009 and 2019.
- Patients were categorized by age and stricture localization.
- Etiological factors were identified and analyzed.
Main Results:
- Urethral catheterization was the leading cause (48.6%), irrespective of patient age.
- The penile urethra was the most common stricture site (41.8%).
- Iatrogenic (catheterization) and idiopathic causes predominated.
Conclusions:
- Urethral catheterization is the principal preventable cause of urethral stricture.
- Careful urethral manipulation during catheterization is vital for preventing stricture formation.
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