Original scientific paper

https://doi.org/10.20471/acc.2025.64.01.07

Etiology of Urethral Stricture: a Tertiary Center’s Experience

Miodrag Aćimović ; Clinic of Urology, University Clinical Center of Serbia, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Veljko Šantric ; Clinic of Urology, University Clinical Center of Serbia, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Nebojša Prijović orcid.org/0000-0002-5268-5801 ; Clinic of Urology, University Clinical Center of Serbia, Belgrade, Serbia *
Uroš Babić ; Clinic of Urology, University Clinical Center of Serbia, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Branko Stanković ; Clinic of Urology, University Clinical Center of Serbia, Belgrade, Serbia
Miloš Petrović ; Clinic of Urology, University Clinical Center of Serbia, Belgrade, Serbia
Marko Milosavljević ; General Hospital Bel Medic, Belgrade, Serbia
Kristina Božović ; General Hospital Studenica, Kraljevo, Serbia
Jovan Hadži-Đokić ; Serbian Academy of Sciences and Arts, Belgrade, Serbia

* Corresponding author.

Abstract

Urethral stricture is a complex disease with an etiology that remains insufficiently
studied. The frequency of etiological factors associated with urethral stricture has undergone significant
changes in recent decades, considering geographical factors, socioeconomic characteristics of the population,
and the different etiological factors present in developed and developing countries. We retrospectively
collected data from 146 patients who underwent urethroplasty for urethral stricture between
2009 and 2019 at the University Clinical Center of Serbia (Belgrade, Serbia). The patients with urethral
stricture were divided into several groups based on their age and the localization of the stricture. Eleven
causes of urethral stricture were identified. Urethral catheterization was the leading cause of strictures,
regardless of age, accounting for 48.6% of all patients (p<0.001). The most common localization was the
penile urethra, accounting for 41.8% of patients (p<0.001), whereas posterior strictures were observed in
only 5 patients (3.4%). Considering etiology, iatrogenic (catheterization) and idiopathic urethral stenosis
are the predominant factors. Careful urethral manipulation during catheterization is crucial, as it contributes
to the prevention of the most common etiological factor of urethral stricture.

Keywords

Catheterization; Epidemiology; Etiology; Stricture; Urethra; Urethroplasty

Hrčak ID:

335488

URI

https://hrcak.srce.hr/335488

Publication date:

31.3.2025.

Article data in other languages: croatian

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