Urology: urethral stricture: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Urology: urethral stricture

Sample item

A man has a poor stream and recurrent UTIs after a straddle injury. A retrograde urethrogram shows a 3 cm bulbar stricture. What is the best definitive treatment?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Urethroplasty

Retrograde urethrography defines the stricture. A single short (under 2 cm) bulbar stricture may first be treated by urethrotomy, but longer or recurrent strictures need urethroplasty, which has the best long-term success.

Option by option

  • A. Suprapubic catheter permanently

    Permanent catheter is a last resort.

  • B. Prostate resection

    TURP does not treat bulbar stricture.

  • C. Urethroplasty (correct)

    Correct. Urethroplasty is definitive for longer strictures.

  • D. Repeated dilatation for life

    Repeated dilatation has high recurrence.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Surgery questions

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is C, Urethroplasty. Retrograde urethrography defines the stricture.

Why is "Suprapubic catheter permanently" not the answer?

Permanent catheter is a last resort.

Why is "Prostate resection" not the answer?

TURP does not treat bulbar stricture.

Why is "Repeated dilatation for life" not the answer?

Repeated dilatation has high recurrence.

What concept does this question test?

It tests Urology: urethral stricture in General Surgery. A single short (under 2 cm) bulbar stricture may first be treated by urethrotomy, but longer or recurrent strictures need urethroplasty, which has the best long-term success.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Urology: urethral stricture?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.