Medical MCQ - What is not the management of a 1.6 cm bulbar urethral stricture in a patient with h/o pelvic fracture?

What is not the management of a 1.6 cm bulbar urethral stricture in a patient with h/o pelvic fracture?

Dilatation with a catheter

Internal Urethrotomy

Excision followed by end-to-end urethroplasty

Excision f/b reconstruction using buccal mucosa

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Correct Answer:

Excision f/b reconstruction using buccal mucosa

Description:

Management of patients of urethral stricture:1. Dilatation2. Optical internal urethrotomy at 12"0 clock Position - only performed for sho bulbar stricture3. If length of stricture up to 2cm - Excisions with end to end Anastomoses4. If length of stricture > 2cm - Excision with tissue transfer for reconstruction (Buccal mucosa (MC used);Bladder mucosa; Penile skin)

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