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In view of the limited extent of conservative methods available to deal with urethral stricture, the too little-known (in my opinion) but still effective method of “self-hydraulic urethral dilation” warrants mentioning, by which male patients can themselves help prevent further surgery for recurrence. Patients hold the urethra closed—in a distal position to the stenosis—for up to a minute by applying pressure with two fingers; the build-up of pressure in the lumen will prompt a mild dilatation of the urethra.

DOI: 10.3238/arztebl.2013.0561c

Dr. med. Raimund Schmitz

Marburg

raimund.schmitz@uni-marburg.de

1.
Pansadoro V: Endoskopische Behandlung von Rezidivstenosen der Pars membranacea der Urethra In: Aktuelle Urologie. Stuttgart: Thieme 1981; 12: 227–31.
2.
Tritschler S, Roosen A, Füllhase C, Stief CG, Rübben H: Urethral strictures—etiology, investigation and treatments. Dtsch Arztebl Int 2013; 110(13): 220–6. VOLLTEXT
1. Pansadoro V: Endoskopische Behandlung von Rezidivstenosen der Pars membranacea der Urethra In: Aktuelle Urologie. Stuttgart: Thieme 1981; 12: 227–31.
2.Tritschler S, Roosen A, Füllhase C, Stief CG, Rübben H: Urethral strictures—etiology, investigation and treatments. Dtsch Arztebl Int 2013; 110(13): 220–6. VOLLTEXT

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