Question:hard
Identify the condition shown in the imaging below:
Identify the condition shown in the imaging below:
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Anterior urethra: locate the narrowed segment along the bulb.
Updated On: Jun 23, 2026
- MCU with bulbar urethral stricture
- MCU with penile stricture
- RGU with membranous stricture
- RGU with prostatic stricture
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The Correct Option is A
Solution and Explanation
Read it by location: the narrowing sits in the bulbar urethra, the part of the anterior urethra most often strictured after straddle trauma and chronic inflammation, so this is a bulbar urethral stricture.
Sort the urethral anatomy to clear the distractors. The anterior urethra runs penile then bulbar; the posterior urethra runs membranous then prostatic. A penile-segment stricture sits further distally than the lesion shown. Membranous and prostatic strictures belong to the posterior urethra and typically follow pelvic-fracture disruption or prostate surgery, a different segment from the one narrowed here.
On causes, keep the four buckets handy: inflammatory (urethritis, BXO), traumatic (bulbar straddle injury, pelvic-fracture disruption), iatrogenic (catheter, instrumentation, prostatectomy, radiotherapy) and idiopathic. Matching the narrowed bulbar segment to its commonest site gives the bulbar urethral stricture. Ref: Bailey & Love, 27th ed.
Sort the urethral anatomy to clear the distractors. The anterior urethra runs penile then bulbar; the posterior urethra runs membranous then prostatic. A penile-segment stricture sits further distally than the lesion shown. Membranous and prostatic strictures belong to the posterior urethra and typically follow pelvic-fracture disruption or prostate surgery, a different segment from the one narrowed here.
On causes, keep the four buckets handy: inflammatory (urethritis, BXO), traumatic (bulbar straddle injury, pelvic-fracture disruption), iatrogenic (catheter, instrumentation, prostatectomy, radiotherapy) and idiopathic. Matching the narrowed bulbar segment to its commonest site gives the bulbar urethral stricture. Ref: Bailey & Love, 27th ed.
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