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]
- Falling
This includes “straddle injury,” in which trauma to the groin occurs when a person falls onto an object, such as the crossbar on a bicycle. Radiation therapy for prostate cancer or other types of cancer can also lead to a stricture. [nyulangone.org]
Among the most common causes are “straddle” injuries, such as the bruising from falling onto a crossbar. As such injuries heal, scarring in the form of a stricture can develop. [urology.ucla.edu]
Trauma – Impact from a car accident or a fall can damage the urethra. In some cases, the cause of urethral strictures is unknown. [tuh.templehealth.org]
Observing the stream of urine while the child is micturiting will reveal a poor stream, falling close to the body, child straining while passing urine. [pediatriconcall.com]
Images Lab Values Podcasts Quizzes Tables Videos DRUG INFO Drugs by Name, Generic and Brand Pill Identifier Commonly Searched Drugs Albuterol FLUoxetine Heparin MetFORMIN Doxycycline Omeprazole NEWS 2.4 Million ED Visits in ≥65s Due to Unintentional Falls [merckmanuals.com]
- Recurrent Urinary Tract Infection
Hallmark symptoms are frequency and urgency, and may also be dysuria, hesitancy, slow stream, incontinence, and recurrent urinary tract infections. [ncbi.nlm.nih.gov]
In women, Vaginitis should also be ruled out. [2] Causes [ edit ] Signs indicative of urethral syndrome include a history of chronic recurrent urinary tract infections (UTI) in the absence of both conventional bacterial growth and pyuria (more than 5 [en.wikipedia.org]
Symptoms of the urethral stricture can include pain with urination and incomplete bladder emptying, recurrent urinary tract infections, urinary incontinence, the need to urinate frequent at night and many severe cases can result in kidney failure and [northaustinurology.com]
A doctor may recommend surgery in the following circumstances: Severe problems with urination, such as straining to urinate, weak stream, and urinary retention (inability to urinate) Stones in the bladder Recurrent urinary tract infections Increasing [medicinenet.com]
- Sepsis
Newborns may also be brought with few urinary symptoms and more non specific ones like abdominal distension, failure to thrive, signs of infection (sepsis) somewhere in the body, recurrent urinary infections with fever. [pediatriconcall.com]
These untreated infections can also spread to the blood and result in sepsis, which can be deadly. In addition, the STIs that frequently cause urethritis can damage the reproductive system. [healthline.com]
- Recurrent Infection
However, other patients also have pain with urination and develop recurrent infections, including infections of the prostate. [prostatitis.org]
A doctor may prescribe a stronger antifungal medication, such as fluconazole, for persistent or recurrent infections. Vaginitis is inflammation of the vagina due to irritants, infection, or a hormonal deficiency. [medicalnewstoday.com]
Otherwise, a hairy urethra can result and be complicated by recurrent infection, sprayed urinary stream and stone formation. A hairless patch of skin can often be found in the midline and the posterior scrotum. [urology.wustl.edu]
[…] who perform IC have a greater chance of complication (urinary tract infection, infection, bleeding, etc.,). [indianjurol.com]
Gastrointestinal
- Suprapubic Pain
The location and characteristics of pain in nephrolithiasis include the following: • Stones obstructing ureteropelvic junction: Mild to severe deep flank pain without radiation to the groin; irritative voiding symptoms (eg, frequency, dysuria); suprapubic [scribd.com]
- Loss of Appetite
[…] of appetite unexplained weight loss feeling tired or weak swollen feet bone pain Treatment will depend on the stage of bladder cancer as well as a person’s overall health. [medicalnewstoday.com]
Liver, Gall & Pancreas
- Jaundice
If hepatitis has occurred, patients may be jaundiced with hepatomegaly and hepatic tenderness in addition to other stigmata of cirrhosis. [infectiousdiseaseadvisor.com]
Musculoskeletal
- Fracture
A fracture of the right pubic ramus was diagnosed.55 5. • Fig GU 41-3 Penetrating injury. Extravasation of contrast material from the penile urethra following a gunshot wound.55 6. • Fig GU 41-4 Penile fracture. [slideshare.net]
Urethral Injury in Penile Fracture Rupture of the corpus cavernosum from trauma to the erect penis (“penile fracture”) is an uncommon injury and usually occurs during strenuous sexual activity. [pubs.rsna.org]
Rarely, urethral injuries can be self-inflicted when a person inserts a foreign object directly into the urethra, or they can occur with a penile fracture. Some injuries to the urethra are limited to bruising. [merckmanuals.com]
The penile urethra is rarely injured, due to the mobility of the penis, but may be damaged at the time of penile fracture in 3–20% of cases.[14],[15] Traumatic posterior urethral stenoses are the result of pelvic fracture urethral injury (PFUI). [indianjurol.com]
The most common injuries that can damage the urethra include medical instrumentation, radiation therapy, pelvic fracture and straddle injury. [medstargeorgetown.org]
- Contusion
This compression may result in urethral contusion with an intact urethra or partial or complete rupture of the sump of the bulbous urethra. In general, a straddle urethral injury is not associated with a bone injury. [pubs.rsna.org]
Skin
- Flushing
If the stones are small, a doctor may advise taking a pain-relieving medication and drinking plenty of fluids to dilute the urine and flush the stones out. [medicalnewstoday.com]
The catheter, with both the irrigating syringe and inflating (saline solution) syringe attached, should be flushed before use. [pubs.rsna.org]
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]
- Kidney Failure
bladder dysfunction renal function impairment and an increased risk of kidney failure vesicoureteral reflux (when urine flows backwards from the bladder up to the kidneys). [childrenshospital.org]
If the infection is not treated, back pressure may prevent urine from leaving the kidneys, causing kidney failure. Diagnosis of urethritis is established by taking a Gram stain and a culture of urethral discharges. [britannica.com]
Most boys will need to be monitored for kidney function and bladder function. There is up to a 20% chance that kidney failure can develop over time. [urology.ucsf.edu]
Kidney failure, also called renal failure and chronic kidney disease, can be a temporary (often acute) condition or can become a chronic condition resulting in the inability of the kidneys to filter waste from the blood. [livescience.com]
Symptoms of the urethral stricture can include pain with urination and incomplete bladder emptying, recurrent urinary tract infections, urinary incontinence, the need to urinate frequent at night and many severe cases can result in kidney failure and [northaustinurology.com]
- Incomplete Bladder Emptying
Urethral stricture care at Mayo Clinic Symptoms Signs and symptoms of urethral stricture include: Decreased urine stream Incomplete bladder emptying Spraying of the urine stream Difficulty, straining or pain when urinating Increased urge to urinate or [mayoclinic.org]
Symptoms of the urethral stricture can include pain with urination and incomplete bladder emptying, recurrent urinary tract infections, urinary incontinence, the need to urinate frequent at night and many severe cases can result in kidney failure and [northaustinurology.com]
Symptoms of a urethral stricture include: slow or painful urination reduced urine output occasional blood in the urine incomplete bladder emptying A doctor may carry out tests, such as urine flow testing and ultrasound imaging, to determine the position [medicalnewstoday.com]
"The most common bladder problems in men are frequent urination at nights and incomplete bladder emptying. This is usually due to an enlarged prostate causing obstruction of bladder emptying." [livescience.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]
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]