Doctor insights on:
Occur mostly in men: Most commonly occur as result of trauma or infection. Trauma:- from instrumentation medical or self induced, straddle injuries cause bulbar strictures, pelvic fractures can cause rupture or strictures in upper urethra. Infections, especially gonorrhea are notorious for causing them. Treatment can can vary from simple urethral dilatation, cystoscopic urethrotomy to 1 or 2 stage surgical procedures. ...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
Here are some...: Urethral stricture is the narrowing of the urethra distal to the prostate urethra, resulting from urethritis, urethral injury in early age. But at 50, it is not uncommon to coexist with the problem of poor relaxation and opening of the prostate urethra by prostate enlargement and aging. Both can cause slowing urine flow, but urethral spotting tends to more commonly happen to urethral stricture.. . ...Read more
After having a urethra stricture surgery. Does it have any problems in erection or anything to satisfy my wife or having kids in the future?
See below: This should not be a problem. Please contact your urologist to discuss this in detail. ...Read more
I have had on and off testicle pain for months, 2 negative ultasounds could I have prostatis or urethra stricture? Do those cause testicle pain help
Possible: Your pain can be from a variety of sources to include infections, STDs, and torsion. I am available this evening for a Prime Consult to discuss further if you'd like. ...Read more
How would I know if I had a urethra stricture? Most of the time I have a good stream I never pee on floor or anything, no pain, but spraying sometimes
Ans: Why would you think you have a stricture? You seem to have a good stream and flow. Hydrate more. I think you are over analyzing but where did you get this idea. You need to be honest and give all the facts if you really have an issue. ...Read more
Pretty sure cystoscopy caused a urethra stricture. Slow urine stream, spraying half the time, hesitancy and ejaculation feels blocked 4 months notbetter
Get 2nd opinion: Why cystoscopy at 19yo? Get a 2nd opinion. Your Family Doc can review all your medications, both prescription & over-the-counter, plus dietary supplements, to make sure you're not taking something that's coincidentally making it more difficult to void. S/he can then refer to another Urologist (or go back to chat w/one who did cystoscopy). ...Read more
Can a urethra stricture cause delayed ejaculation?? it takes me about 30 mins to ejaculate but my ejaculation still shoots out do I have a stricture?
Here are some...: For a 19-y-o man without prior voiding difficulty or urethral injury, the odd to have urethral stricture should be next to zero. Urethral stricture should not affect orgasm & ejaculation. Your well-decribed semen shooting-out confirmed the functional openness of urethra is well preserved even there is unexpected urethral stricture. So, you are okay in the urethra. More? Seek pro-evalaution... ...Read more
What are the odds of a cystoscopy causing a urethra stricture? My pee sprays to the right when done urimating and stream seems slow bottom half sprays
Ask the urologist!: If the first day or two, maybe a little physical irritation and the spraying will clear up quickly. Beyond that, probably not from the cystoscopy itself. Why was cystoscopy done? Urethral warts, stone, or stricture all could cause altered urine stream. Or a healing wound if such a problem was treated during cystoscopy. Contact the urologist who did procedure; s/he probably will want to see you. ...Read more
Can a cystoscopy cause a Urethra stricture I wasn't put asleep for the procedure and my pee sprays help?
I self catherize due to stricture in urethra can you tell me a good video web site to make sure I am doing it properly I sometimes have blood after?
Urethtal pain ongoing and discomfort sometimes freqeuncy. Previous dilation for urethtal stricture 3 years ago. Why does urethra hurt most days?
Here are some...: Please refer the specific concerns about urethral stricture-related symptoms to your treating urologist, who would know more about you than others on line. Clinically, the care of urethral stricture is a lifelong matter but at different pace and evolution. To get things done correctly, follow instructions as described in http://www. Formefirst. Com/eNewsletter06.html. Thereby, you gain much insight. ...Read more
Is it possible to get lubrication stuck in your urethra and cause a blockage or stricture? I used too much lubricant and a lot got in my penis
No worries: It will flush right out the next time you urinate. It can't get stuck. No worries. ...Read more
I have a stricture in the urethra near the bladder sphincter I self catheterize would like to know what sounds to buy if any need your advice?
I am experiencing mild urethritis inside my urethra in the glans penis area. It doesn't go away and it's already 3 months. Urethral stricture maybe?
More info needed: I don't know what you mean by "experiencing urethritis". What symptoms? If reduced urine flow, or if your urine sprays instead of coming out in a normal stream, it could be a stricture. If you're having discharge or uncomfortable urination, you may have urethritis. That means an STD like gonorrhea, chlamydia, or nongonococcal urethritis (NGU). See a doctor for examination and testing. Good luck! ...Read more
Uncomfortable ejaculation and now premature. Been checked all comes back clean. This has been going on for almost 1 yr. Had scope up urethra all was good. No strictures or signs of blockage. Frustrated?
Premature ejaculatio: Could be easily treated with low dose of Lexapro (escitalopram) or related meds. See a urologist. Get your hormones evaluated, specially estrogen, yes male produce estrogen as well. It will case extreme sensitivity of nipples and premature ejaculation. If estrogen is elevated need to be treated. Estrogen is cause of prostate ca, not a testosterone, as most urologist think. Look a4m.Com link for more info. ...Read more
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
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
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
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
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
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
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
What are the possiblity of recurrence in urethral membranous stricture dilatation. Will it be worse if it recurred?
Here is reality...: Since life is a one-way street of accumulation, modification, & continuation, and urethral dilation is a form of minor injury to stretch the scar-related urethral narrowing, especially at membranous urethra, its recurrence is almost a rule but with a wide interval. Hence, always be followed with realistic diligence & vigilance. Due to 400-leter space limit, I love to chat with you via 734-846-2699 ...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
Urethral dilation: It is not unusual but there are other therapies that may provide better long term management of your symptoms. A true "urethral stricture"is quite rare in women. The symptoms that are being addressed are usually due to bladder over activity that can be confirmed by urodynamic studies and tested with medications. ...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