Role of spongiosography in the management of anterior urethral strictures

Spongiosography is an opacification of corpus spongiosum by contrast medium. Spongiosogram was done in 16 cases of diagnosed anterior urethral strictures to assess the depth of fibrosis and the fibrosis graded into mild, moderate and severe. 10 patients with mild spongiosal fibrosis required repeat procedure after 4 to 6 months. 4 patients with moderate fibrosis required OIU within 2 months and 2 patients with severe fibrosis underwent open surgical reconstruction. Spongiosography can be used to prognosticate the recurrence rate and choose appropriate initial modality for management of anterior urethral strictures.