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Doctor insights on: Bulbar Urethral Stricture

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What causes urethral stricture?

What causes 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

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Urethra (Definition)

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


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Tell me about urethral stricture disease?

Tell me about urethral stricture disease?

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

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What are the signs of a urethral stricture?

What are the signs of a urethral stricture?

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

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What are the causes of a urethral stricture?

What are the causes of a urethral stricture?

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

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What could be cause by a urethral stricture?

What could be cause by a urethral stricture?

Can be...: Can be congenital (born with it), sequel of std-related urethritis, injury by any procedures through urethra, chronic inflammation such as bxo (balanitis xerotica obliterans), etc. Detail? Ask urologist timely. ...Read more

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Can anyone tell me about urethral stricture?

Can anyone tell me about urethral stricture?

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

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How can I tell if I have a urethral stricture?

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

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What are the most common symptoms of urethral stricture?

What are the most common symptoms of urethral stricture?

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

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What is the definition or description of: urethral stricture?

Urethra: Urethral stricture is a narrowing of the urethra most commonly in males due to stds, precious surgery or instrumentation. ...Read more

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I think I have a urethral stricture but I'm not sure. What should I do?

See urologist: Stricture is scar in urethra that can make for difficult urination. Is easily diagnosed and readily treated by urologist. ...Read more

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What are treatments for urethral stricture?

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

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Which is the best surgery for urethral stricture?

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

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Can vasoconstriction cause a urethral stricture to reoccur?

Can vasoconstriction cause a urethral stricture to reoccur?

Not really: Unless you've had a urethroplasty where the stricture was cut out and sewn back together, there's always a good chance of recurrence because the scar by definition has a poor blood supply. Not the same thing as vasoconstriction. ...Read more

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How can I distinguish between a urethral stricture and prostatitis?

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

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Which is the safest and best treatment for urethral stricture?

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

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Can an urethral stricture in a male be repaired with treatment?

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

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Can flexible cystoscopy cause an urethral stricture? I have no other symptoms but much worsened urinary flow starting two weeks after a cystoscopy.

Very unlikely: While trauma induced stricture is very unlikely with flexible cystourethroscopy, it is possible that inflammation was induced by passing the scope. Prostatitis would be a likely culprit in this case. Talk to your urologist. ...Read more

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How painful is membranous urethral stricture dilatation?

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

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What are inlay onlay grafts? It has to do with urethral stricture?

What are inlay onlay grafts? It has to do with urethral stricture?

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

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Dr does urethral stricture cause pain in testis? Please clearify about it

Dr does urethral stricture cause pain in testis? Please clearify about it

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

Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more


Dr. Bradley Figler
38 Doctors shared insights

Urethral Stricture (Definition)

Urethral stricture is a narrowing of the urethra most commonly in males due to stds, ...Read more