Delayed Urethral Stricture Following Remote Electrocution: A Case Report.

Urethral stricture disease is commonly associated with trauma, iatrogenic injury, or inflammatory conditions. Electrical injuries are a rare cause of urological complications, and their association with urethral stricture formation is exceedingly uncommon, with very limited documentation in the literature. We report the case of a 33-year-old male who presented with progressive lower urinary tract symptoms several years after sustaining an accidental electrical injury. Radiological and endoscopic evaluation revealed a long-segment bulbar urethral stricture. The patient underwent augmented anastomotic urethroplasty using a buccal mucosa graft (BMG). The postoperative course was uneventful, and follow-up assessments demonstrated satisfactory urinary flow and no evidence of recurrence. This case demonstrates that remote electrical injury should be considered a potential, albeit rare, cause of urethral stricture disease. Augmented anastomotic urethroplasty with buccal mucosa graft represents an effective treatment option in such complex cases.