Doctor insights on:
Bulbar Urethral Stricture
Several causes.: A urethral stricture is a narrowing of the urethra, causing urinary difficulties or obstruction. There are many causes. Injury to the urinary tract from instrumentation, pelvic fracture, or straddle injury are causes. Sexually transmitted infections, skin diseases such as lichen sclerosis, congenital abnormalities such as hypospadias, and radiation therapy for cancer are potential causes. ...Read more
The canal through which urine exits the bladder, discharging the urine externally. In men, it is about 20-cm long with a membranous, prostatic, bulbar, and pendulous segments ending at the glans penis; it gives passage to the spermatic fluid as well as urine. In the female, the urethra is about 4 cm long & in close relation with the anterior ...Read more
Urethral narrowing.: Urethral stricture disease is a narrowing of the urethra, usually associated with scarring. They can occur anywhere along the length of the urethra. They are often caused by trauma from instrumentation, stones, infections, or may be congenital. They present as difficulty or pain with urination, with obstructive symptoms like weak stream. Treatments include dilation, urethrotomy, and urethroplasty. ...Read more
My take is. ..: Urethral stricture may manifest with slowly progressive decrease in urine flow over a long duration - years or decades, result from prior injury - instrumentation / trauma or inflammation / infection - STD, may have urethral spotting or superimposed UTI, and taking alpha-blocker like its use for prostate will not improve its related poor urine flow. More? Ask urologist timely. ...Read more
Many causes.: A urethral stricture is a narrowing of the urethra, causing urinary difficulties or obstruction. There are many causes. Injury to the urinary tract from instrumentation, pelvic fracture, or straddle injury are causes. Sexually transmitted infections, skin diseases such as lichen sclerosis, congenital abnormalities such as hypospadias, and radiation therapy for cancer are potential causes. ...Read more
Traumatic, infective: Following urethral surgey & rarely congenital. Strictures are narrowings of the urethra causing urinary obstruction of varying degrees. Can occur after straddle injuries or penile trauma. Post infectious strictures can develop from gonorrhea. Urethral meatal stricture or stenosis is the most common complication of neonatal circumcision & not uncommon after hyposadias & urethroplasty surgery. ...Read more
Symptoms/exam: Strictures usually occur after procedures such as cystoscpoy or Foley catheters. Sometimes after recurrent infectionns too. Pts will find their urinary stream will be weak, takes longer to empty the bladder, feeling that you still have to go even after leaving the bathroom. Sometimes the stream in such pts is no longer a single stream but has two or three streams indicating scar is obstructing. ...Read more
Thanks for asking!: The most common symptom would be a consistently poor/weak urinary stream possibly associated with burning with urination or blood from penis. Previous urethral infection (such as an std) or trauma (external straddle-like injury or trauma from being catheterized or having an indwelling catheter) would be most common cause. ...Read more
See urologist: Stricture is scar in urethra that can make for difficult urination. Is easily diagnosed and readily treated by urologist. ...Read more
Depends...: Its rx options range from urethral dilation to cutting under direct vision (visual internal urethrotomy), one-/two-stage open urethral repair (urethroplasty) with or without graft, self-dilation, stent (now, a history), etc. Note: all these carry no cure and guaranty, and require a close f/u to keep it open; so, patient needs to be aware of such. At times, stricture may recur 15 yrs after surgery. ...Read more
Here are some. ..: All options of surgery for urethral stricture have their unique indications, complications, and results to fit individual needs at a reasonable time in a reasonable way for a reasonable patient by balancing medical necessity and professional (technical) possibility; likewise, the dilemma of choosing the "best" for urethral stricture has been going on and evolving. So, to choose the "best", ask Doc ...Read more
Here's some...: Specifically, diminished urine flow from urethral strictures will slowly progressivelyrics diminish and can not be improved with alpha-blocker, but that from prostatitis may fluctuate and be improved with alpha-blocker. More? Seek professional evaluation and counseling timely. ...Read more
Urethral stricture: There are 3 ways to treat urethral strictures: urethral dilation; visual internal urethrotomy; and open surgical repair. The first two are minor procedures and are usually temporary requiring repeated treatments specially urethral dilations. The open repair is major surgery but has a better prognosis and results. How severe is the stricture determines sometimes what needs to be done. ...Read more
Definitely: Surgcal treatment depends upon urethral location plus length of stricture. Urethral dilatation is invariably temporary and structures recur, unless they are regularly calibrated or dilated. Cystoscopic transurethral incision of stricture is good for "iris" type very short strictures. Bulbar and distal stictures up to 2cm in length can be excised. Longer strictures require inlay or onlay grafts. ...Read more
Can flexible cystoscopy cause an urethral stricture? I have no other symptoms but much worsened urinary flow starting two weeks after a cystoscopy.
Moderately painful: This most often done using local (Lidocaine) anesthesia in the office, The pain also depends on the severity of the stricture. If severe, an optical internal urethrotomy (cutting the stricture using a cystoscope) may be done with general anesthesia ...Read more
Yes.: If a urethral stricture does not respond to dilation or incision (dviu), a surgery can be performed called a urethroplasty to remove the scarred segment of tissue. After excision, the two ends of the urethra are brought together. If this is not possible because the distance is too long, a graft of tissue is placed to substitute for the urethra in that region. ...Read more
Could do: There is build up of pressure in urethra proximal to stricture. There could be pain in in the epididymis (lying on testis) if there is any reflux into your ejaculatory ducts. Hope you get your stricture fixed by direct vision urethrotomy, if stricture is short enough, otherwise by urethroplasty. Good luck. ...Read more
What is the reason that urethral tears heal with a catheter but urethral stricture requires surgery and other measures?
Diffrent problems: A urethral tear is helped by the catheter becuause it seals off the tear, prevents bleeding and keeps down swelling that can obstruct flow. A stricture is scar tissue that has formed after the healing process is complete. Scar tissue formation is a normal part of the healing process. In some pts too much scar tissue forms and obstructs flow.Surgery to clesr out the scar is then necessary. ...Read more
Treated for prostatitis in 2008 up until may of this year. Urologist decides to take a look inside and tells me it was a urethral stricture..
Okay but...: What is the question? The symptoms between the two are different, but I do not know what he found on his previous exam that might suggest prostatitis, such as fever, chills, painful prostate elevated white count. You could have had both and then was sidetracked by ongoing symptoms with the stricture ...Read more
Dr said had weak stream due to urethral stricture. Had vocalcord surgery 5 days ago now stream is weaker, go small amounts. No pn meds. What's wrong?
URETHRAL STRICTURE: The urethra is in a separate space as the main erectile bodies. Not likely. ...Read more
Can a urethral stricture be viewed non-invasively using Ultrasound or MRI or is a flow-rate test conclusive evidence?
Yes, but. ..: Everything we do in medicine and life should not only be hinged on the ultimate balance between necessity & possibility but be less cost, less radiation, and higher definite accuracy as deduced from decades-long experience. Therefore, detailed Hx + urethorscopy +/- retrograde urethrogram would have most conformed with this realistic demand. More? Ask urologist timely. ...Read more
Can Cystoscopy lead to urethral stricture in future? (after 2-3 months of cystoscopy or more) as I feel pain in penis now, done cystoscopy in past?
Rare, but depend...: Urethral stricture (scar) may rarely occur reflecting the types-rigid or flexible-of scope used, the times of scoping, personal anatomical variation, & personal healing ability. For one at 27 without prior urethritis & instrumentation, the cause for recurrent voiding usually results from poor relaxation in prostate urethra. More? Go to articles in http://formefirst. Com/TroublingVoiding-Men. Html... ...Read more
Sort of.: During cystoscopy, a urethral stricture can be visualized. An incision can be made to open up the scar, a procedure called direct vision internal urethrotomy (dviu). This does not heal or "fix" the scarred tissue, but opens up the channel to relieve blockage. There is always the possibility that the stricture will return and require future treatments. Talk to your urologist about your options. ...Read more