Urethral and Ureteral stricture Teaching

Urethral and Ureteral stricture Teaching - U rethral...

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Urethral stricture Last reviewed: September 3, 2010. Urethral stricture is an abnormal narrowing of the tube that carries urine out of the body from the bladder (urethra). Causes, incidence, and risk factors Urethral stricture may be caused by inflammation or scar tissue from surgery, disease, or injury. It may also be caused by pressure from an enlarging tumor near the urethra, although this is rare. Other risks include: A history of sexually transmitted disease (STD) Any instrument inserted into the urethra (such as a catheter or cystoscope) Benign prostatic hyperplasia (BPH) Injury or trauma to the pelvic area Repeated episodes of urethritis Strictures that are present at birth (congenital) are rare. Strictures in women are also rare. Symptoms Blood in the semen Bloody or dark urine Decreased urine output Difficulty urinating Discharge from the urethra Frequent or urgent urination Inability to urinate (urinary retention) Incontinence Painful urination ( dysuria ) Pain in the lower abdomen Pelvic pain Slow urine stream (may develop suddenly or gradually) Spraying of urine stream Swelling of the penis Signs and tests A physical examination may show the following: Decreased urinary stream
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Discharge from the urethra Enlarged (distended) bladder Enlarged or tender lymph nodes in the groin (inguinal) area Enlarged or tender prostate Hardness (induration) on the under surface of the penis Redness or swelling of the penis Sometimes the exam reveals no abnormalities. Tests include the following: Cystoscopy Post-void residual (PVR) volume Retrograde urethrogram Tests for chlamydia and gonorrhea Urinalysis Urinary flow rate Urine culture Treatment The urethra may be widened (dilated) during cystoscopy by inserting a thin instrument to stretch the urethra while you are under local anesthesia. You may be able to treat your stricture by learning to dilate the urethra at home. If urethral dilation is not successful or possible, you may need surgery to correct the condition. Surgical options depend on the location and length of the stricture. If the stricture is short and not near the urinary sphincter, options include cutting the stricture via cystoscopy or inserting a dilating device.
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