What Is Bulbar Urethra

Bulbar urethra is the most common site of urethral stricture.

What is bulbar urethra.

Bulbar meaning bulb shaped urethral stricture is an obstruction of urine flow through the urethra which impedes the body s ability to pass urine. The bulbar urethra under the scrotum and perineum the area between the scrotum and anus the penile urethra along the bottom of the penis the meatus the exit at the tip of the penis strictures that happen in the last 9 to 10 of the urethra that urine passes through are called anterior strictures. The urethra is a tube that carries urine from the bladder so it can be expelled from the body. A urethral u ree thrul stricture involves scarring that narrows the tube that carries urine out of your body urethra.

These are nearly always done in a single setting or stage. Penile spongy pendulous urethra 16 cm long. In the bulbar urethra the most common types of urethroplasty are anastomotic with or without preservation of corpus spongiosum and bulbar arteries and substitution with buccal mucosa graft full thickness skin graft or split thickness skin graft. Usually the urethra is wide enough for urine to flow freely through it.

Bulbar urethral stricture can occur in varying severity from light strictures with limited symptoms and some continued flow of urine to complete and acute obstructions with severe symptoms. The membranous urethra is a short area of the urethra that extends from the proximal bulbar urethra to the distal verumontanum the verumontanum is a small mound in the urethra where the ejaculatory ducts open into and sperm enters the urethra. The posterior urethra is composed of the membranous and prostatic urethra. Bulbar urethra is susceptible to the injury because of absence of protection.

What is urethral stricture. Excising a short segment of urethra and sewing the ends together typically has the best long term surgical results which approach 95. In some cases there is immediately swelling and blood at. A stricture restricts the flow of urine from the bladder and can cause a variety of medical problems in the urinary tract including inflammation or infection.

During injury the bulbar urethra is crushed against bone. When a bulbar stricture is less than 1 5 2 cm in length the two primary treatment options are either a dilation a direct vision internal urethrotomy or an open urethral reconstruction it is very unfortunate that most men with bulbar strictures are generally treated with dilation or urethrotomy without prior imaging and often repeatedly treated with these ineffective techniques repeatedly. The anterior urethra is composed of the penile and bulbar urethra to the level of the urogenital diaphragm. Stricture excision cannot be performed in the penile urethra or for long strictures of the bulbar urethra because there will be too much tension when trying to bring the two cut ends together.