Saturday 21 July 2012

Urethral Stricture


It is abnormal narrowing of urethra due to trauma, STDs or urethritis.

Causes:-

  • Inflammation or scar tissue formation due surgery, disease or injury
  • Pressure from enlarging tumor
  • instrumentation of urethra eg. cystoscopy
  • STDs
  • H/O repeated urethritis
Symptoms:-

  • Decreased stream of urine
  • Incomplete emptying of bladder with terminal dribling of urine
  • Urinary intermittency
  • Frequent micturition
  • Acute or chronic retention of urine
Complications:-

  • Urinary retention
  • Bilateral hydronephrosis
    • Urinary infections
    • Urinary calculi
    Diagnosis:-

    • Urine routine examination with microscopy
    • Urine culture
    • Retrograde Urogram (RGU)
    • Post void residual urine
    • Cystoscopy
    Treatment:-

    • Instrumentation with bougies or catheter depending on severitySurgery eg urethrostomy or urethroplasty can be done

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