Urethral Stricture
From Anvita Health Wiki
Contents |
Introduction
- structure of the urethra
Etiology
-
- benign prostatitic hypertrophy ( BPH)
- pelic trauma
- recurrent urethritis
Epidemiology
- congenital urethral strictures are rare
- urethral strictures in women are rare
Clinical-manifestations
- blood in the semen
- bloody or dark urine
- oliguria
- urinary hesitancy or inability to urinate
- urethral discharge
- urinary frequencyInability to urinate
- urinary incontinence
- dysuria
- pelvic pain, abdominal pain
- slow urine stream
- edema of the penis
- distended bladder
- inguinal lymphadenopathy
- enlarged prostate
- physical exam may be normal
Laboratory
- urinalysis with urine culture if indicated
- Genprobe for chlamydia & gonorrhea
Diagnostic-procedures
- cystoscopy
- post-void residual volume ( PVR)
- retrograde urethrogram
- urinary flow rate
Complications
Management
- suprapubic catheter may necessary to alleviate urinary retention if a catheter cannot be passed through the urethra
- urethra may be widened (dilated) during cystoscopy
- open urethroplasty may be done for longer strictures
- if all else fails, a urinary diversion - appendicovesicostomy (Mitrofanoff procedure) - may be done; this allows self- catheterization of the bladder through the wall of the abdomen
- self catheterization may help to maintain urethral patency
- prognosis: repeated treatment may be needed to remove scar tissue
More General Terms
Additional Terms
References
- MedlinePlus: Urethral stricture [1]
- Google Health: Urethral stricture [2]
- Mayo Clinic: Urethral stricture [3]
- The Center for Reconstructive Urology: Urethral Stricture [4]
