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Doctor insights on: Dilation Urethral Stricture

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How painful is membranous urethral stricture dilatation ?

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

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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Would urethral membranous stricture cause nocturia ?

It might: See below for symptoms of urethral stricture: http://www.healthline.com/health/urethral-stricture#overview1 It doesn't look like from your history you have a known urethral stricture and there are other causes for nocturia (e.g. diabetes, bladder problems) so I'd recommend assessment by a doctor licensed in your area to sort through the possibilities and order tests if needed. ...Read more

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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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Would urethral membranous stricture cause premature ejaculation ?

Would urethral membranous stricture cause premature ejaculation ?

Premature: Ejaculation is sometimes called ill-timed ejaculation. It is a subjective evaluation. You may orgasm too quickly and not satisfy your partner. If you have concerns you can see your doc or a licensed sex therapist. It is not an illness. Please ask your urologist or your doc about the stricture question. Peace and good health. ...Read more

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Had meatoplasty or urethral dilation helped your bladder problems?

Had meatoplasty or urethral dilation helped your bladder problems?

What: You had meatoplasy and urethral dilatation. What is your question? I am sorry if I misunderstood your question. ...Read more

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Whats retrograde urethrogram with voiding cystourethrogram?

Whats retrograde urethrogram with voiding cystourethrogram?

Urethrogram 2 ways: Urethra filled by retrograde instillation of x-ray contrast, in males, through a foley catheter inflated just inside urethral opening or with a special retrograde urethrogram device attached to a syringe filling urethra and bladder until bladder full & patient voids. Or in both sexes bladder filled via a catheter which is then removed & urethra then filled from below by syringe.Best urethral pics. ...Read more

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Can urethral strictures be treated with flomax (tamsulosin)?

Can urethral strictures be treated with flomax (tamsulosin)?

Unfortunately no.: Flomax or tamsulosin relaxes the smooth muscle of the prostate to improve urine flow in men with enlarged prostates. There is likely some small effect on the ureters and urethra as well. However, a stricture is usually a fixed obstruction with elements of scar tissue that would not respond to a medication like flomax. ...Read more

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Incontinence (dribbling) after circumcision--urethral stricture, what to do?

Incontinence (dribbling) after circumcision--urethral stricture, what to do?

Unusual: No reason why U should be incontinent of urine after a circumcision. Surgery does not affect urethra unless circumcision performed grossly incorrectly. Suggest you consult an experienced urologist & not surgeon who performed your operation. ...Read more

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Is balloon dilation of the lower esophageal sphincter painful?

Is balloon dilation of the lower esophageal sphincter painful?

Could be: Dilation is a controlled tear. Some patients do experience chest pain after a dilation. Severe pain is worrisome for too large a tear or perforation of the esopaghus. ...Read more

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Sphincter of ode after gall bladder surgery?

Sphincter of ode after gall bladder surgery?

Please Clarify: The sphincter of oddi is a normal anatomic structure at the point where the bile duct enters the intestine (see duodenal papilla on pic above). Dysfunction of the sphincter, though very rare, can simulate gallbladder-type pain & is a possible explanation for ongoing pain despite gb removal. This can be diagnosed by endoscopic testing & treated by cutting the sphincter. ...Read more

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Can a cystoscope detect urethritis or prostatitis?

Can a cystoscope detect urethritis or prostatitis?

Probably not..., but: If done at right time, cystoscopy may evidence mucosal inflmmation to suggest urethritis or prostatitis. But, most of times, both can be diagnosed with good history, physical finding, urinalysis, and others as needed. And cystoscopy is only needed for protracted cases to rule out stricture. To detail both, go to see urologist timely. Best wishes... ...Read more

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Does ductus deferens attach to urethra or prostate gland?

Does ductus deferens attach to urethra or prostate gland?

Prostate: It enters through the prostate. Remember the prostate is like a donut. The donut hole is part of the urethra, called the prostatic urethra. ...Read more

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Define transurethral resection of bladder neck?

Define transurethral resection of bladder neck?

Bladder neck incisio: Transurethral resection of the bladder neck ( TURBN ) should be a bladder neck incision in most all cases. It is often indicated for patients for symptoms of BPH with a small prostate gland. If a formal resection is done bladder neck scarring may occur. Sometimes TURBN is done for bladder neck contractures and should be best performed as an incision. ...Read more

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Retrograde urethrogram with voiding cystourethrogram, what does this mean?

Retrograde urethrogram with voiding cystourethrogram, what does this mean?

Urinary problems: A retrograde urethrogram is when a tiny catheter is put into the opening of the urethra (penis in males) and pictures are taken as the dye is injected backwards. A voiding study is the opposite, contrast is put into the bladder with a catheter and pictures are taken as the patient pees the contrast out. ...Read more

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Retrograde urethrogram report: q 3 of 3. Impression: suggestive of bladder outlet obstruction with significant pvr. Meaning?

Retrograde urethrogram report: q 3 of 3. Impression: suggestive of bladder outlet obstruction with significant pvr. Meaning?

Urinary retention: You describe a condition consistent with urinary retention and bph, typically relieved with meds or surgery. Further evaluation needed by a urologist. Unclear why a retrograde urethrogram was performed unless suspected a stricture. ...Read more

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Could rapaflow (silodosin) alpha-1 blockers affect urinary sphincter or just the prostate?

Both: Alpha blockers relax the smooth muscle component of the prostate (as opposed to the glandular part). They also relax the INTERNAL urinary sphincter at the neck of the bladder.This is why retrograde ejaculation(the ejaculate goes into the bladder instead of coming out) can occur. They do not relax the EXTERNAL sphincter(below the prostate) which controls urine voluntarily. ...Read more

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Can urinary bladder prolapse into the vagina due to vigorous masturbating ?

Can urinary bladder prolapse into the vagina due to vigorous masturbating ?

Unlikely: Usually bladder prolapse occurs when the pelvic muscle is weakened. This is a common issue for women. Some causes can be lifting, chronic coughing, constipation with straining, obesity or just becoming older. ...Read more

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Will urethral stent removal be painful?

Will urethral stent removal be painful?

Very briefly.: An indwelling ureteral stent is removed in one of two ways. A quick pull on a little string to pull it out of the urethra, or by using a flexible scope to enter the bladder and pulling out the stent with forceps. Both can cause bladder discomfort and some flank pain as it is quickly removed. Some residual pain can linger for a day or two. Pain can be variable with many feeling no pain. ...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