SUFU WM 2014 - Evolutionary stages in urethral strictures - Session Highlights

MIAMI, FL USA ( - This was a retrospective review of all men (n=25) who had >1 cystoscopy at a single institution, by 2 experienced urologists, between 2002 and 2014, and had ≥ 3 month follow-up. The determination of urethral stricture was according to the Purohit-Blaivas staging system. Exclusion criteria were men who were performing intermittent catheterization and those that had intervention between cystoscopies.

  Purohit-Blaivas Staging System
Stage 1 Easy passage of the scope
Stage 2 Gentle dilation required for scope passage
Stage 3 Impossible but has a visible lumen
Stage 4 No visible lumen

Thirty-three strictures were found, and in those cases, indications for the cystoscopy were bladder cancer surveillance (17/33), voiding symptoms (5/33), hematuria (2/33), bladder neck contracture (1/33), and urethrocutaneous fistula (1/33).

The authors felt that the Purohit-Blaivas staging system provided an easy lexicon for documenting urethral strictures.

sufu xPresented by Raver S. Purohit, MD, MPH; Ricardo Georges; Matthew Benedon; Gabriel Mekel, MD; and Jerry G. Blaivas, MD at the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU) Winter Meeting - February 25 - March 1, 2014 - Doral Golf Resort and Spa - Miami, Florida USA

Weill Medical College of Cornell University, SUNY Downstate College of Medicine
Institute for Bladder and Prostate Research


Reported for by Diane K. Newman, DNP, FAAN, BCB-PMD