Presentation
To present a novel modification of surgical technique to treat female urethral stricture (FUS) by a vaginal-sparing ventral buccal mucosal urethroplasty. [ncbi.nlm.nih.gov]
Almost all 16 patients presented with poor flow and feeling of incomplete voiding, two of them had recurrent urinary tract infections and two had frequency and urgency as their main presenting complaints. [indianjurol.com]
Congenital anterior urethral diverticulum with stone a unique presentation. Urology 2003;61:837. [Figure 1], [Figure 2] [mjdrdypu.org]
Materials and Method s : We report a case of 35-years-female who was presented to us with total mid-urethral stricture with false passage following multiple urethral dilatation attempts. [jstcr.org]
Entire Body System
- Wound Infection
Patients did not report any significant postoperative pain or discharge suggestive of wound infection and were advised to return to their normal daily activities after 3 to 4 days. [indianjurol.com]
Urogenital
- Dysuria
In girls, the minimal width of the urethra can be approximated using the following formula: Urethral width [Charriere] = age + 10 Signs and Symptoms Dysuria, urgency and recurrent infections. [urology-textbook.com]
Hallmark symptoms are frequency and urgency, and may also be dysuria, hesitancy, slow stream, incontinence, and recurrent urinary tract infections. [ncbi.nlm.nih.gov]
Symptoms 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 [wexnermedical.osu.edu]
The most common symptoms of urethral strictures are : difficulty passing urine (voiding) – hesitance, straining and sometimes pain ( dysuria ) urinary retention due to incomplete emptying of the bladder repeated urinary tract infections ( UTIs – urethritis [healthhype.com]
The full pathognomonic triad of dysuria, dyspareunia, and post-void dribbling was noted in only four patients. 1 2 3 4 5 6 7 8 Age (years) 26 57 46 46 26 54 54 31 BMI (kg/m 2 ) 18 21 19 25 19 33 25 26 Symptoms Dysuria + + - - - - - - Post-void dribbling [omicsonline.org]
- Bladder Neck Obstruction
Bladder neck obstruction in women: a real entity. J Urol 1984; 132: 294-298 11) Nitti VW, Tu LM, Gitlin J. Diagnosing bladder outlet obstruction in women. J Urol 1999; 161: 1535-1540 12) Groutz A, Blaivas JG, Chaikin DC. [minds.jcqhc.or.jp]
Associated complications are urinary sepsis, phlegmon, urethrocutaneous fistula, calculosis, bladder neck obstruction, septicemia, renal failure, and occasionally malignancy. [8] Diagnosis is made by ascending urethrography, cystoscopy or micturating [mjdrdypu.org]
- Urethral Disease
The most common etiologies of female urethral stricture are traumatic urethral injury, iatrogenic urethral injury, and inflammatory urethral disease; its optimal management is still under evaluation [4]. [urotoday.com]
- Overflow Incontinence
Recurrent urinary infection Retention or inability to pass urine Incontinence of urine after retention (Overflow Incontinence) Pus discharge from urethral meatus Abscess formation in Perineal region followed by urine discharge from the abscess (urethra-cutaneous [scihospital.com]
Treatment
PURPOSE: To report the etiology, presenting symptoms and outcomes of the different treatments performed in female patients with recurrent urethral stricture. [ncbi.nlm.nih.gov]
Treatments for bladder neck contractures Bladder neck contractures typically form after a prior treatment for enlarged prostate, particularly laser treatments and button transurethral resection of the prostate. [cityofhope.org]
Prognosis
[…] 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]
The overall prognosis for urethral stricture is good. What is the urethra? The urethra is a hollow tube that allows urine to leave the bladder. [rxlist.com]
Etiology
Suspected etiology was iatrogenic from cystoscopy 17 years prior. Since then, the patient had undergone at least 25 formal urethral dilations and periods of self-dilation. [ncbi.nlm.nih.gov]
The possible etiologies may be infection, prior dilation, difficult catheterization with subsequent fibrosis, urethral surgery, trauma, or idiopathic. [scienceopen.com]
Discussion Urethral diverticulum is a rare entity in men. 10% of the diverticuli have congenital etiology such as faulty closer of urethral fold's, cystic dilatation of Cowper's duct, or intraspongiosal hematoma. [mjdrdypu.org]
Epidemiology
"SIU/ICUD consultation on urethral strictures: epidemiology, etiology, anatomy, and nomenclature of urethral stenosis, strictures, and pelvic fracture urethral disruption injuries." Urology 83 (2014): S1-7. Lumen, Nicolaas, et al. [rxlist.com]
The Panel suggests the following issues in future investigations: Both basic science and epidemiological research into the etiology of urethral strictures. [auanet.org]
Pathophysiology
The pathophysiological significance of an urethral narrowing without urinary retention is controversial. Diagnostic Work-Up Cystoscopy and calibration of the urethra with Bougie a boule to determine the width of the urethra. [urology-textbook.com]
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]
Some advocate clean intermittent catheterization after urethrotomy to help prolong or “prevent” that risk of stricture recurrence. [aibolita.com]
Urethral Stricture Topics Diagnosis of Urethral Stricture Early detection is recommended to prevent serious kidney problems. [brighamandwomens.org]
Preventing Urethral Stricture Urethral strictures can be caused by STDs and bacterial infections, so practicing safe sex and proper hygiene can help prevent some cases. [beaumont.org]
It’s not always possible to prevent urethral stricture. Since STIs are one cause, using protection during sexual contact can prevent some cases. [healthline.com]