Urethral Stricture | Sentara Healthcare
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Urethral Stricture 

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Urethral stricture is an abnormal narrowing of the urethra (the tube that connects the bladder to the end of the penis that releases urine from the body). Urethral stricture may be caused by inflammation or scar tissue from surgery, disease, or injury. It may also be caused by external pressure from an enlarging tumor near the urethra, although this is rare.

Possible symptoms of urethral stricture include
 Dysuria (painful urination) 
 Difficulty urinating 
 Slow urine stream (may develop suddenly or gradually) 
 Spraying of urine stream
 Decreased urine output
 Increased urinary frequency or urgency
 Incontinence (inability to control the passage of urine)
 Blood in the semen
 Pelvic pain
 Lower abdominal pain
 Bloody or dark urine
 Discharge from the urethra
 Swelling of the penis
 Urinary retention

Diagnostic tools:
 Physical exam and history may reveal some of the signs and symptoms of urethral stricture and help the urologist determine the best treatment. 
Possible tests include a urinalysis, which examines the urine, and a cystoscopy to confirm diagnosis.

Types of treatment:
 Suprapubic catheter: Placement of a tube directly in the bladder and brought out through the lower abdomen to drain the bladder.
 Urethra dilation: Dilation of the urethra may be attempted by inserting a thin instrument to stretch the urethra under local anesthesia.
 Surgery: Surgery may be needed if urethra dilation is not possible. 
 Cystoscopic visual urethrotomy: A urethral stent may be inserted thru the cystoscope for small strictures. 
 Open urethroplasty: Used for longer strictures to remove the diseased portion or replace it with healthy tissue 


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