Abstract
Urethral stricture defined as congenital only if it is not an inflammatory, it is a short-length and it is not associated with history of or potential for urethral trauma, or instrumentation. It is not considered a rare disease, and we must note the existence of such anomaly, especially in boys suffering from recurrent urinary tract infections, dysuria, disturbed voiding, drug- resistant diurnal enuresis, pollakisuria or hematuria in pediatric urological practice. Stricture also disturbs spontaneous healing of vesicoureteral reflux. Usually findings above the stenotic segment include a bladder wall thickening, hydronephrosis, and renal dysplasia. VCUG demonstrates the stenotic segment and the associated alterations.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Mori Y, Matsui T, Ogino T, et al. Treatment of congenital urethral stenosis (urethral ring) in children. Jpn J Urol. 1989;80:704–10. PMID:2754895.
Liu JS, Hofer MD, Oberlin DT, Milose J, Flury SC, Morey AF, et al. Practice patterns in the treatment of urethral stricture among American urologists: a paradigm change? Urology. 2015;86(4):830–4.
Cranston D, Davies AH, Smith JC. Cobb’s collar–a forgotten entity. Br J Urol. 1990;66:294–6.
Cobb BG, Wolf JA, Ansell JS. Congenital stricture of the proximal urethral bulb. J Urol. 1968;99:629.
Moormann JG. Congenital bulbar urethral stenosis as a cause of disease of the urogenital junction. Urologe. 1972;11:157–60.
Dewan P. Re: Nonomura K, Kanno T, Kakizaki H et al. Impact of congenital narrowing of the bulbar urethra (Cobb’s collar) and its transurethral incision in children. Eur. Urol. 1999; 36: 144–9. Eur. Urol. 2001; 40: 478–9.
Dorisio O, Bassani F, Silveri M. Cobb’s collar: a rare cause of urinary retention. BMJ Case Rep. 2013; pii: bcr2012008137 doi: 10.1136/bcr-2012-008137.
Routh JC, McGee SM, Ashley RA, Reinberg Y, Vandersteen DR. Predicting renal outcomes in children with anterior urethral valves: a systematic review. J Urol. 2010;184(5):1615–9.
McLellan DL, Gaston MV, Diamond DA, et al. Anterior urethral valves and diverticula in children: a result of ruptured Cowper’s duct cyst? BJU Int. 2004;94:375–8.
Tombal B, Abi Aad A, Opsomer R, et al. Urethral stenosis in children: apropos of 33 pediatric cases. Acta Urol Belg. 1994;62:55–61.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Fahmy, M. (2017). Congenital Urethral Stricture. In: Congenital Anomalies of the Penis. Springer, Cham. https://doi.org/10.1007/978-3-319-43310-3_33
Download citation
DOI: https://doi.org/10.1007/978-3-319-43310-3_33
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-43309-7
Online ISBN: 978-3-319-43310-3
eBook Packages: MedicineMedicine (R0)