Presentation
Presentation on theme: "Urethral stricture. *May be congenital or acquired. *Acquired urethral sricture is common in men but rare in women. Aetiology 1. congenital 2. Traumatic. [slideplayer.com]
Present On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery [icd10data.com]
Risks include: Sexually transmitted infection (STI) Procedures that place a tube into the urethra (such as a catheter or cystoscope) Injury to the pelvic area Repeated urethritis Strictures that are present at birth (congenital) are rare. [wexnermedical.osu.edu]
Congenital anterior urethral diverticulum with stone a unique presentation. Urology 2003;61:837. [Figure 1], [Figure 2] [mjdrdypu.org]
According to this classification; the present case was type II A-2 (complete urethral duplication with the second urethra arising from first one and coursing independently into separate meatus). Clinical presentation varies from type to type. [f1000research.com]
Entire Body System
- Pediatric Disease
He has a wide experience for more than 30 years in the field of pediatric surgery with a special interest in pediatric urology, rare genitourinary anomalies, pediatric gynaecology, and Hirschsprung’s disease. [books.google.com]
Gastrointestinal
- Vomiting
In children, it normally presents with pain and vomiting. A significant number will require intervention - some do not present with functional obstruction until adulthood. [patient.info]
Cardiovascular
- Heart Disease
Urethral Duplication • Urethral duplication is a rare anomaly frequently seen in association with other anomalies including hypospadias, epispadias, cleft lip and palate, congenital heart disease, tracheoesophageal fistula, imperforate anus and musculoskeletal [slideshare.net]
It can affect either sex and is characterised by multiple abnormalities, including congenital heart disease, short stature, developmental delay, cryptorchidism in boys, increased bleeding tendency and characteristic facial features. [patient.info]
Urogenital
- Urethral Disease
Migratory stones are most often encountered in association with urethral stricture disease or other forms of urethral obstruction [ 10 ]. [bmcresnotes.biomedcentral.com]
Acquired Inflammatory Diseases • Gonococcal and Nongonococcal Urethritis • Complications associated with gonococcal urethritis are more common and more serious than those associated with nongonococcal urethritis and include urethral stricture, periurethral [slideshare.net]
Malignant strictures are not common but may be formed in association with urethral and penile tumours. Stricture disease represents a significant part of the workload of the urologist. [bioline.org.br]
Workup
Microbiology
- Chlamydia
Exposure to unsafe sexual practices: Sexually transmitted diseases (STDs), urethritis, gonorrhea, chlamydia, etc. Iatrogenic: Instrumentation like catheterization, urethroscopy, cystoscopy, urethral dilators, indwelling catheter, etc. [cureurethralstricture.com]
Sexually transmitted diseases such as gonorrhea or chlamydia are less common causes of urethral stricture, and they can be potentially prevented by practicing safe sex. [laparoscopyhospital.com]
Measurement of post-void residual (PVR) volume Tests for sexually transmitted diseases, such as chlamydia and gonorrhea Urinalysis, a study of your urine to determine whether you have a disease without showing symptoms Urinary flow rate Urine culture [wexnermedical.osu.edu]
Tests include the following: Urinary flow rate may be measured Post-void residual (PVR) measurement Urinalysis Urine culture (if evidence of infection) Tests for chlamydia and gonorrhea Cystoscopy to confirm diagnosis A retrograde urethrogram to confirm [readycureayurveda.com]
Infection of urethra can be caused by sexually transmitted diseases like gonorrhoea, chlamydia, or can be as a result of long term use of catheter, and infection can cause inflammation in an around the tissues of the urethra. [specialistshospital.com]
Cystoscopy
- Bladder Trabeculation
It causes restricted urine flow, proximal urethral dilation,bladder wall trabeculations & hypertrophy & later postvoid residue. 5 6 Clinical picture 1. Reduced urine stream. 2. Disturbed stream(double stream) with post void dribbling. 3. [slideplayer.com]
Note also the bladder wall thickening and trabeculation. (b) Transverse US image through the bladder shows significant thickening of the bladder wall (arrows). 44. Posterior urethral valves with bilateral vesicoureteral reflux. 45. [slideshare.net]
Treatment
The final chapter deals with the etiology, pathology, clinical diagnosis, and treatment of priapism. This book is a valuable resource for physicians. [books.google.com]
This is an emergency treatment. This allows the bladder to drain through the abdomen. There are currently no drug treatments for this disease. [medlineplus.gov]
This also helps to guide the treatment course. [urology.ucla.edu]
This innovative method of treatment is particularly gentle and rather painless. The examination of the urethral stricture and a suitable treatment is carried out by a specialist for urology. [mukocell.com]
Treatment and prognosis Treatment options include urethral dilation, internal urethrotomy, or permanent urethral stenting. [radiopaedia.org]
Prognosis
* Urethral fistula needs surgical repair. 14 Prognosis Urethral stricture should not be considered cured untill after 1 year from the last Rx. * During this period,observation is needed for recurrence. * Follow up by uroflowmetry & uethrogram to assess [slideplayer.com]
[…] and even urinary incontinence A treatment of Urethral Stricture in Women may involve cystoscopy, surgical procedures, such as urethroplasty, and the placement of a catheter (if required) Urethral Stricture in Women can be treated completely and the prognosis [dovemed.com]
In partial epispadias, prognosis for continence with treatment is good. [msdmanuals.com]
These investigations are important in deciding course and prognosis of patient. Few of the important factors associated with success of urethroplasty are the surgeon who is doing the surgery and the place where it is done. [urethraandpenilesurgery.com]
Etiology
The final chapter deals with the etiology, pathology, clinical diagnosis, and treatment of priapism. This book is a valuable resource for physicians. [books.google.com]
Urethral strictures - Etiology Etiology of male urethral strictures The male urethra is a tubular structure about 18 cm in length, and it may present an occlusion or reduction of his caliber that is called urethral stricture. [urethralcenter.it]
Idiopathic It is sometimes not possible to establish the stricture etiology in some patients. These “strictures of unknown etiology” have been related to unrecognized minor trauma occurring in childhood. [uretra.it]
The demographics of the affected population is dictated by the etiology, but in general, it is safe to say that adult males make up the vast majority of cases. The primary mode of presentation of a symptomatic stricture is with poor urinary stream. [radiopaedia.org]
ABSTRACT Pediatric urethral narrowing or idiopathic etiology of a stricture is difficult to suspect in the absence of classic obstructive lower urinary tract symptoms. [urotoday.com]
Epidemiology
The Panel suggests the following issues in future investigations: Both basic science and epidemiological research into the etiology of urethral strictures. [auanet.org]
Pathophysiology
Catheter induced strictures are not uncommon and pathophysiologically resemble trauma induced stricture. Malignant strictures are not common but may be formed in association with urethral and penile tumours. [bioline.org.br]
Prevention
The following measures may be considered to avoid or prevent Urethral Stricture in Women: Practicing safer sex methods, which can help prevent urethral strictures caused by sexually-transmitted diseases Quick and immediate medical attention can help prevent [dovemed.com]
Early treatment of urethral stricture may prevent complications such as kidney or bladder infection or injury. [readycureayurveda.com]
Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. [books.google.com]
Namely, inflammation of urethral tissue may cause scarring, and such scars prevent normal expanding of the organ during urination, hence the problems. [ic.steadyhealth.com]