Presentation
The narrowing may be congenital (present at birth) or the result of inflammation, injury, disease or prior surgery. [chop.edu]
An inexpensive and simple dietary approach is presented for the treatment of prostatitis and the urethral syndrome. [journals.lww.com]
This may present with very non specific symptoms or may present with acute kidney failure. The cause of this anomaly is abnormal embryology and persistence of a fold. This remains and forms flaps or valves in the urethral passage of the male child. [pediatriconcall.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]
Eight abstracts were referenced as the authors of this review were in attendance at the meetings where the abstract results were presented, thus it was possible to collect additional information on the presented abstracts. [scielo.br]
Entire Body System
- Surgical Procedure
[…] treatment Malignant Tumors of the Urethra Female urethral cancer Cancer of the male urethra Surgical Procedures for Urethral Diseases Internal urethrotomy Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z References [urology-textbook.com]
Skin flap procedure: A long stricture with severe scarring may require a complex surgical procedure using flaps of skin from the penis. Staged procedure: When tissue is not available for a skin flap procedure or a free graft. [brighamandwomens.org]
URETHRAL RECONSTRUCTION Also called “urethroplasty”, reconstruction of the urethra is a surgical procedure that removes the unhealthy scar tissue to prevent it from coming back. [consultantsinurology.com]
You may need a temporary catheter for a few weeks after the procedure. The advantages of the procedure are that it has the highest success rate. The disadvantage is that it is more invasive and there are surgical risks. [dartmouth-hitchcock.org]
This surgical procedure offers quicker recovery time, minimal scarring and less risk of infection. Dilation – this outpatient procedure involves the insertion of a tiny wire through the urethra and into the bladder. [southmississippiurology.com]
- Constitutional Symptom
Adenovirus- Adenovirus is an uncommon cause of urethritis in men, it should be considered in all males presenting with dysuria, meatitis, and associated conjunctivitis or constitutional symptoms.[4] Treponema pallidum - from an endourethral syphilitic [ncbi.nlm.nih.gov]
Lymphogranuloma venereum is commonly seen with certain serotypes of C. trachomatis and is often asymptomatic or associated with constitutional symptoms but can lead to strictures and fistulae. [infectiousdiseaseadvisor.com]
- Candidiasis
[Detection of candidiasis in non-gonococcal urethritis resistant to therapy]. Mikrobiyol Bul. 1986 Jul;20(3):190-5. [PubMed: 3561282] 7. Bradshaw CS, Tabrizi SN, Read TR, Garland SM, Hopkins CA, Moss LM, Fairley CK. [ncbi.nlm.nih.gov]
Respiratoric
- Sore Throat
[…] herpes) A virus called adenovirus which usually causes a sore throat or eye infection It is also possible for urethritis to not be caused by an infection. [brook.org.uk]
Gastrointestinal
- Abdominal Pain
Symptoms The symptoms of urethral strictures can include: Abdominal pain Blood in the semen Dark or bloody urine Pain during urination Penis swelling Urine leakage or loss of bladder control Urinary tract infections (in men) Weak or spraying urine stream [tuh.templehealth.org]
If the disease spreads to other organs in the genital or urinary tract or into the bloodstream, however, it may result in the following: Back pain Abdominal pain High fevers Nausea Vomiting Swollen joints and other symptoms of disease throughout the body [emedicinehealth.com]
The condition results in difficulty while urinating, blood in the urine, abdominal pain, and even urinary incontinence A treatment of Urethral Stricture in Women may involve cystoscopy, surgical procedures, such as urethroplasty, and the placement of [dovemed.com]
These symptoms include abdominal pain and frequent, painful urination. Both conditions cause irritation to your urethra. Urethritis usually develops because of a bacteria or virus, but urethral syndrome often has no clear cause. [healthline.com]
[…] while urinating (dysuria) Discharge from penis Fever (rare) Frequent or urgent urination Itching, tenderness, or swelling in penis Enlarged lymph nodes in the groin area Pain with intercourse or ejaculation In women: Abdominal pain Burning pain while [medlineplus.gov]
Skin
- Skin Lesion
Examination in male patients with urethritis includes the following: Inspect the underwear for secretions Penis: Examine for skin lesions that may indicate other STDs (eg, condyloma acuminatum, herpes simplex, syphilis); in uncircumcised men, retract [emedicine.medscape.com]
Neurologic
- Irritability
Possible causes include: Irritation of the urethra, caused by: Radiation therapy or exposure Chemotherapy Spermicidal jellies used during sex Bubble baths Irritating soaps Scents or perfumes Injury to the urethra caused by a blow to the pelvic area Sexual [winchesterhospital.org]
Foods Substances in certain foods can enter the urine and irritate the urethra. [medicalnewstoday.com]
Common causes may include physical problems with the urethra, such as abnormal narrowing or urethral irritation or injury. [healthline.com]
Chemical irritation caused by soaps, lotions, and colognes can cause temporary pain in the urethra. Spermicide in condoms and contraceptive jelly, cream, or foam can also cause irritation. [emedicinehealth.com]
Urethritis due to fecal contamination or irritation due to physical or chemical substances is common in young children. [britannica.com]
Urogenital
- Dysuria
Symptoms of urethritis may include dysuria, pruritus, burning and discharge at the urethral meatus. Frank purulent discharge suggests gonorrhea as the causative organism. Dysuria alone is common among chlamydia. [ncbi.nlm.nih.gov]
The symptoms include nocturia and irritative voiding complaints such as frequency, dysuria, urgency, and urgency incontinence. [journals.lww.com]
Children who have urethritis may present with irritative voiding symptoms, such as dysuria, urgency, or frequency; possible urethral discharge; initial hematuria; or blood spotting on the underwear. [pedsinreview.aappublications.org]
- Urinary Retention
In addition to uncomfortable urinary symptoms such as reduced flow rate and more frequent urination, a urethral stricture can lead to complications that include urinary tract infections, prostatitis, urinary retention and kidney damage. [uclahealth.org]
In cases of acute urinary retention, a catheter may be placed as an emergency treatment. This allows the bladder to drain through the abdomen. When no other options are available, a urinary diversion may be done. [wexnermedical.osu.edu]
This is referred to as urinary retention, and is a medical emergency. Hydronephrosis and renal failure may also happen from backup of urine into the kidneys from a poorly draining bladder. [my.clevelandclinic.org]
[…] tract infections (UTIs) If severe luminal narrowing or complete obliteration of the urethral lumen occurs, urinary retention and acute renal failure may develop. [unboundmedicine.com]
- Urethral Discharge
Urethral discharge is characterized by abnormal purulent or mucoid secretions from the penis or, rarely, the female urethra. Urethral discharge reflects inflammation of the urethra usually caused by infection. [accessmedicine.mhmedical.com]
urethral discharge and dysuria. [sahealth.sa.gov.au]
Patients usually do not report urethral discharge. [ncbi.nlm.nih.gov]
Lack of purulent urethral discharge does not rule out gonorrhea, as 25% of cases of gonococcal urethritis in males present with scant discharge. [infectiousdiseaseadvisor.com]
It revealed identical patterns for both strains isolated from urethral discharge and ocular swab suggesting autoinfection through the accidental contamination of the eyes by urethral discharge. [frontiersin.org]
- Urethral Disease
It remained for such workers as Folsom 1 to call attention to the prevalence of urethral disease in women; as one speaker (Stark 2 ) has stated, “I would say that the modern urologist had rediscovered the female urethra about 1930.” [mdedge.com]
(straddle injury) Injury of the posterior urethra Urethritis: Infectious Diseases of the Urethra Gonorrhea: Gonorrhea (1/2): Etiology, Signs and Symptoms Gonorrhea (2/2): Diagnosis and Treatment Non-gonococcal urethritis Benign Diseases of the Male Urethra [urology-textbook.com]
FDA-regulated Device Product: No Product Manufactured in and Exported from the U.S.: No Additional relevant MeSH terms: Layout table for MeSH terms Urethral Stricture Urethral Diseases Urethral Obstruction Urologic Diseases [clinicaltrials.gov]
Article First Online: 17 October 2008 255 Downloads 24 Citations Abstract Female urethral stricture disease is a rare entity. [link.springer.com]
Discuss diseases of the urethra in adults. •. Identify the key features of urethral disease at urethrography and cross-sectional imaging. Introduction In this article, we review the anatomy and diseases of the urethra in adults. [pubs.rsna.org]
- Urinary Urgency
[…] taking longer than usual to urinate urinary urgency Without treatment, urethral strictures can cause severe associated urinary system effects, such as kidney infections and kidney stones. [medicalnewstoday.com]
Other symptoms include: Splaying of the urinary stream Urinary frequency Urinary urgency Straining to urinate Pain during urination Urinary tract infection Prostatitis Inability to completely empty the bladder. [en.wikipedia.org]
Often caused by advanced age, symptoms include urinary urgency and frequency, pelvic pain and pain during urination, the Mayo Clinic noted. Kidney stones are clumps of calcium oxalate that can be found anywhere in the urinary tract. [livescience.com]
If men have prostatic involvement, they may also complain of nocturia and urinary urgency. Common to both sexes is urethral tenderness, erythema, and pruritis. [infectiousdiseaseadvisor.com]
Workup
Depending on your symptoms and your prior workup, you may discuss having more diagnostic procedures, including: Bladder function studies Cystoscopy (placing a small scope in the urethra) Retrograde urethrogram (using dye to take better pictures of the [dartmouth-hitchcock.org]
To guide treatment decisions, a thorough diagnostic workup may include advanced imaging techniques and endoscopic evaluations to identify the precise location and severity of the stricture Surgery is the mainstay of treatment for urethral stricture disease [umassmemorialhealthcare.org]
[…] followers Placement of suprapubic tube: In severe cases of urethral trauma that prevent placement of urethral catheters or in the absence of adequate facilities for emergent cystoscopy; temporizing measure to divert urine and relieve patient discomfort See Workup [emedicine.medscape.com]
Although the amount of blood in the urine may be different, the types of conditions that can cause the problem are the same, and require the same kind of workup or evaluation. [medicinenet.com]
Microbiology
- Candida
[…] anti-inflammatory drugs, such as ibuprofen and naproxen applying ice to the scrotum to reduce inflammation surgery to remove the epididymis, in severe cases drinking lots of fluid A vaginal yeast infection occurs due to an overgrowth of the natural fungus called Candida [medicalnewstoday.com]
This causative agent should be of suspicion when other identifiable etiologies of nongonococcal urethritis are absent.[5] Candida species (yeast).[6] Trauma is a less commonly a cause of urethritis, but it can occur with intermittent catheterization or [ncbi.nlm.nih.gov]
N. meningitidis, Haemophilus sp., Candida sp., urethral stricture and foreign bodies have all been reported in a few cases and probably account for a small proportion of NGU, whilst the role of Epstein Barr Virus is questionable [25, 26]. [bmcinfectdis.biomedcentral.com]
Treatment
Surgical treatment of urethral stricture We offer the following treatments for urethral stricture: Direct vision internal urethrotomy or urethral dilation The direct vision internal urethrotomy or urethral dilation treatment is a less invasive procedure [dartmouth-hitchcock.org]
[…] on a treatment for strictures. [participatorymedicine.org]
Treatment for Urethral Stricture Your urologist will decide the best treatment option for you after evaluating the length, location and degree of scar tissue. [brighamandwomens.org]
treatment of urethral stricture; Endoscopic treatment for urethral stenosis; Patient selection for urethroplasty technique: EPA vs Graft; Effect of graft location in urethroplasty; Non-transecting urethroplasty; Urethroplasty for panurethral urethral [books.google.com]
Normally, irradiation is performed for cancer treatment. [eurogen-ern.eu]
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]
Based on the experience of UMass Memorial’s urology team, the long-term prognosis for urethral stricture is good. [umassmemorialhealthcare.org]
In partial epispadias, prognosis for continence with treatment is good. [merckmanuals.com]
Treatment and prognosis Treatment options include urethral dilation, internal urethrotomy, or permanent urethral stenting. [radiopaedia.org]
Etiology
Etiology and Pathophysiology Scarring of the corpus spongiosum can be caused by trauma, inflammation, or previous surgery. [unboundmedicine.com]
Code First Code First Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10data.com]
[…] complex Congenital Diseases of the Female Urethra Bladder exstrophy Urethral Trauma (Injury) Injury of the anterior urethra (straddle injury) Injury of the posterior urethra Urethritis: Infectious Diseases of the Urethra Gonorrhea: Gonorrhea (1/2): Etiology [urology-textbook.com]
The etiologies were trauma in 24, post catheterization in 16, and idiopathic in 25. The mean stricture length was 1.60 cm (range 0.8 to 1.9). Anastomotic urethroplasty was performed in 41 men (Group 1). [rdm.ox.ac.uk]
As a consequence, etiology and management in pediatric urethral stricture disease are not well defined. [frontiersin.org]
Epidemiology
Epidemiology Incidence Strictures occur in up to 0.6% of the population (1). The cause of strictures can be idiopathic, iatrogenic, inflammatory, or traumatic (2). [unboundmedicine.com]
We review the epidemiology and discuss the pathogenesis of LS and urethral stricture diseases. [karger.com]
Use of the term urethral syndrome is now controversial as there are no agreed diagnostic criteria and there is an overlap with other diagnoses - eg, interstitial cystitis. [ 1 ] Epidemiology Urethral syndrome is thought to affect about 1 in 4 of all adult [patient.info]
Results: There is level 3 evidence regarding the etiology and epidemiology of urethral strictures, stenoses, and pelvic fracture urethral injuries. [indianjurol.com]
If suspected because of clinical or epidemiological reasons, tests for Trichomonas vaginalis, adenovirus and HSV should also be included. [bmcinfectdis.biomedcentral.com]
Pathophysiology
Etiology and Pathophysiology Scarring of the corpus spongiosum can be caused by trauma, inflammation, or previous surgery. [unboundmedicine.com]
Pathophysiology Urethritis is an inflammatory condition that can be infectious or posttraumatic in nature. [emedicine.medscape.com]
Pathophysiology Urethritis is documented based on any of the following signs or laboratory tests: Mucopurulent or purulent discharge. Gram stain of urethral secretions showing >5 WBC per oil immersion field. [ncbi.nlm.nih.gov]
Successful management of urethral strictures requires detailed knowledge of anatomy, pathophysiology, proper patient selection, and reconstructive techniques. [nature.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]
Urethral Stricture Topics Diagnosis of Urethral Stricture Early detection is recommended to prevent serious kidney problems. [brighamandwomens.org]
[…] catheterization technique Prevention of sexually transmitted infections Commonly Associated Conditions Urinary tract infections (UTIs) If severe luminal narrowing or complete obliteration of the urethral lumen occurs, urinary retention and acute renal [unboundmedicine.com]
Share on Pinterest Using barrier protection during sexual activity can help prevent urethral strictures. Preventing a urethral stricture is not always possible. [medicalnewstoday.com]
Latex and polyurethane condoms are the best types of condoms to use to help prevent pregnancy and STIs. [healthlinkbc.ca]