Optimal Duration of Foley Catheter After Bulbar Urethroplasty

Optimal Duration of Indwelling Urethral Foley Catheter Following Bulbar Urethroplasty: A Pragmatic Multi-Institutional Randomized Controlled Non-Inferiority Trial

The goal of this clinical trial is to learn when is the best time to remove a Foley catheter (tube used to drain urine from the bladder) after surgery in adult men who have a specific type of urethral stricture disease (narrowing of the tube that carries urine from the body). The main question it aims to answer is:

- Is there a difference between removing the catheter at 7-10 days versus 18-21 days?

Researchers will compare Foley removal at 7-10 days to removal at 18-21 days to see if there is a difference in problems after surgery or if the narrowing returns.

Participants will:

• Complete a survey before surgery, when the catheter is removed, and within 12 months after surgery
• Complete follow-up visits after surgery based on your specific medical needs and standard of care

Inclusion Criteria:

• Cis-male patients
• Age 18-70, inclusive
• Bulbar urethral stricture undergoing a urethroplasty
• Urethral stricture defect less than or equal to 7cm in length
• First time urethroplasty
• Negative urine analysis or urine culture

Exclusion Criteria:

• History of pelvic radiation
• Diabetes with Hba1c greater than 8%
• Penile urethral stricture
• Posterior urethroplasty
• Bulbar stricture greater than 7cm