Patient who comes with the symtoms of urethral stricture should be examined in the outpatient with detailed history related to previous instrumentation, perineal injury or catheterization.
Complete physical (perineal) examination is done to check for lichen sclerosis, scarring, phimosis or deformity of penis and penile skin
Investigations to be done in patient with stricture:
- Urine examination and culture- to rule out infection
- Ultrasound to check status of kidney, bladder and residual urine.
- Uroflowmetry- to check for urine flow
- Retrograde urethrogram with micturating cystourethrogram (RGU+MCU) to define length and site of stricture
- Cystourethroscopy to check for urethral mucosa
- If required urodynamic study- to check for bladder function (optional).
- Urethral ultrasound to define density of stricture (spongiofibrosis)
- MRI pelvis and perineal region in case of pelvic trauma.