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Urethra Tips

What Is Urethral Stricture?

Dr. Sarwar Eqbal 87% (15 ratings)
MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
What Is Urethral Stricture?

The urethra is a thin tube that is responsible for carrying urine from the bladder. The urethra is wide enough to facilitate a free flow of urine. However, in some cases, the tube can narrow down and it can restrict urinary flow. This condition is known as a urethral stricture. It is a condition that affects mostly men.

Causes:
The inflammation of the tubular tissues or the presence of scar tissue is the number one cause for urethral stricture. In some cases, an accident or the injury to the groin area can also lead to the formation of such thin tubes. The other factors can include pelvic fractures, radiation, urinary infection and in some cases even STDs(Sexually Transmitted Disease).

Symptoms:
Most of the symptoms of Urethral stricture are mild. Only in some rare cases, the symptoms can be extreme. These can include weak or restricted urine flow, frequent urges to urinate, and feeling of heaviness in the bladder, a burning sensation during urination, swelling and pain while urinating. Sometimes your urine may discharge volts of blood and the color of urine may change.

Diagnosis:
Diagnosis is by a physical examination and by analyzing the urine samples. In most of the cases, the thickness of the walls is measured by cystoscopy. The rate of the urine passed may also be checked for identifying the symptoms.


Treatment:
Treatment depends on the severity of the condition. Nonsurgical methods aim to improve the width of the urethra. This is done by using an instrument called a dilator. This is done as an outpatient procedure. This procedure is the most common method done and is done for most of the milder cases. Surgery is another option. The surgery aims to remove the heaviness of the urethra and enlarges the size of the flow.

Urine Flow Diversion:
This is done in extremely rare cases if the bladder has to be completely removed. In those cases, hole in the abdomen is done and urine is bypassed to that hole. However, this is an extremely rare scenario.

Prevention:
Try to avoid injuries in the groin area. If you are playing sports or a fitness enthusiast, use proper protection for your abdominal and groin regions. Try to always have safe sex and if you feel that there is some discomfort or some uneasiness while passing urine, do consult with a doctor immediately. In many cases, the condition can be avoided if proper precautions are taken.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1867 people found this helpful

Stricture Urethra - Top Signs You Are Suffering From It!

Dr. Srinivas Rao 88% (10 ratings)
MBBS, MS - General Surgery, MCh - Urology
Urologist, Bangalore
Stricture Urethra - Top Signs You Are Suffering From It!

The tube transporting urine from the bladder out of the body is known as the urethra. Under normal circumstances, this tube is wide enough for urine to flow freely but in some cases, one or more section can get narrowed and restrict the flow of urine. This may be diagnosed as a urethral stricture. The length of this stricture can range from 1 cm to affecting the entire length of the urethra. This is caused by scar tissue or inflammation of tissue in the urethra. While this is a common condition that affects men, it is rarely seen to affect women. 

An exposure to STDs like gonorrhoea or chlamydia, suffering from an infection that causes urethral inflammation or having had a catheter inserted can increase the risk of suffering from a urethral stricture. An injury or tumour located near the urethra can also cause this condition. Hence, preventing this condition is not always a possibility. 

Common symptoms to look out for include: 

  1. Inability to urinate 
  2. Reduction in the flow of urine 
  3. Increased urge to urinate frequently 
  4. Pain while urinating Urinary incontinence 
  5. Abdominal pain 
  6. Swelling of the penis 
  7. Blood in the urine or semen 
  8. The bladder feeling full even after urinating 

Diagnosis
A physical examination and tests that measure the rate of urine flow can help a doctor determine a diagnosis of urethral stricture. An X-ray may also help locate the stricture. You may also need to undergo STD tests and a cystoscopy

Treatment
The treatment for this condition depends on the severity of the symptoms. Non-surgical treatment for this condition involves using a dilator to widen the urethra. However, there is no guarantee the blockage will not recur at a later date. Alternatively, a permanent catheter may also be inserted. There are two forms of surgical treatment for a urethral stricture. Endoscopic urethrotomy for short strictures. 

Open urethroplasty: This involves removing the infected or scar tissue and restructuring the urethra. The results of this procedure depend on the size of the blockage. It is usually advised only in cases of long, severe strictures.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3203 people found this helpful

Stricture Urethra - Signs You Should Not Ignore!

Dr. Shilpi Tiwari 86% (38 ratings)
MBBS, MS-General Surgery, DNB
Urologist, Delhi
Stricture Urethra - Signs You Should Not Ignore!

The tube transporting urine from the bladder out of the body is known as the urethra. Under normal circumstances, this tube is wide enough for urine to flow freely but in some cases, one or more section can get narrowed and restrict the flow of urine. This may be diagnosed as a urethral stricture. This length of this stricture can range from 1 cm to affecting the entire length of the urethra.

This is caused by scar tissue or inflammation of tissue in the urethra. While this is a common condition that affects men, it is rarely seen to affect women. An enlarged prostate, exposure to STDs like gonorrhoea or chlamydia, suffering from an infection that causes urethral inflammation and irritation or having had a catheter recently inserted can increase the risk of suffering from a urethral stricture. An injury or tumour located near the urethra can also cause this condition. Hence, preventing this condition is not always a possibility.

Common symptoms to look out for include:

  1. Inability to urinate
  2. Reduction in the flow of urine
  3. Increased urge to urinate frequently
  4. Pain while urinating
  5. Urinary incontinence
  6. Abdominal pain
  7. Swelling of the penis
  8. Discharge from the urethra
  9. Blood in the urine or semen
  10. Dark urine
  11. The bladder feeling gull even after urinating

A physical examination and tests that measure the rate of urine flow and chemical composition of the urine can help a doctor determine a diagnosis of urethral strictures. You may also need to undergo STD tests and a cystoscopy. An X-ray may also help locate the stricture. The treatment for this condition depends on the severity of the symptoms.

Non-surgical treatment for this condition involves using a dilator to widen the urethra. However, there is no guarantee the blockage will not recur at a later date. Alternatively, a permanent catheter may also be inserted.

There are two forms of surgical treatment for a urethral stricture.

  • Open urethroplasty: This involves removing the infected or scar tissue and restructuring the urethra. The results of this procedure depend on the size of the blockage. It is usually advised only in cases of long, severe strictures.
  • Urine flow diversion: In the case of a severe blockage and damage to the bladder, the doctor may advise rerouting the flow of urine to an abdominal opening. This process involves connecting the ureters to an incision in the abdomen with the help of part of the intestines. If you wish to discuss about any specific problem, you can consult a Urologist.
2537 people found this helpful

Stricture Urethra - Surgical Treatment Available For It!

Dr. Vijay Agrawal 88% (178 ratings)
MCh, MS - Urology
Urologist, Surat
Stricture Urethra - Surgical Treatment Available For It!

The tube transporting urine from the bladder out of the body is known as the urethra. Under normal circumstances, this tube is wide enough for urine to flow freely but in some cases, one or more section can get narrowed and restrict the flow of urine. This may be diagnosed as a urethral stricture. This length of this stricture can range from 1 cm to affecting the entire length of the urethra.

This is caused by scar tissue or inflammation of tissue in the urethra. While this is a common condition that affects men, it is rarely seen to affect women. An enlarged prostate, exposure to STDs like gonorrhoea or chlamydia, suffering from an infection that causes urethral inflammation and irritation or having had a catheter recently inserted can increase the risk of suffering from a urethral stricture. An injury or tumour located near the urethra can also cause this condition. Hence, preventing this condition is not always a possibility.

Common symptoms to look out for include:

  1. Inability to urinate
  2. Reduction in the flow of urine
  3. Increased urge to urinate frequently
  4. Pain while urinating
  5. Urinary incontinence
  6. Abdominal pain
  7. Swelling of the penis
  8. Discharge from the urethra
  9. Blood in the urine or semen
  10. Dark urine
  11. The bladder feeling gull even after urinating

A physical examination and tests that measure the rate of urine flow and chemical composition of the urine can help a doctor determine a diagnosis of urethral strictures. You may also need to undergo STD tests and a cystoscopy. An X-ray may also help locate the stricture. The treatment for this condition depends on the severity of the symptoms.

Non-surgical treatment for this condition involves using a dilator to widen the urethra. However, there is no guarantee the blockage will not recur at a later date. Alternatively, a permanent catheter may also be inserted.

There are two forms of surgical treatment for a urethral stricture.

  • Open urethroplasty: This involves removing the infected or scar tissue and restructuring the urethra. The results of this procedure depend on the size of the blockage. It is usually advised only in cases of long, severe strictures.
  • Urine flow diversion: In the case of a severe blockage and damage to the bladder, the doctor may advise rerouting the flow of urine to an abdominal opening. This process involves connecting the ureters to an incision in the abdomen with the help of part of the intestines. In case you have a concern or query you can always consult an expert & get answers to your questions!
1900 people found this helpful

Stricture Urethra - Signs You Are Suffering From It!

Dr. Rajesh Gulia. 90% (23 ratings)
MBBS MS DNB MNAMS NYAMS
Urologist, Mohali
Stricture Urethra - Signs You Are Suffering From It!

The tube transporting urine from the bladder out of the body is known as the urethra. Under normal circumstances, this tube is wide enough for urine to flow freely but in some cases, one or more section can get narrowed and restrict the flow of urine. This may be diagnosed as a urethral stricture. This length of this stricture can range from 1 cm to affecting the entire length of the urethra.

This is caused by scar tissue or inflammation of tissue in the urethra. While this is a common condition that affects men, it is rarely seen to affect women. An enlarged prostate, exposure to STDs like gonorrhoea or chlamydia, suffering from an infection that causes urethral inflammation and irritation or having had a catheter recently inserted can increase the risk of suffering from a urethral stricture. An injury or tumour located near the urethra can also cause this condition. Hence, preventing this condition is not always a possibility.

Common symptoms to look out for include:

  1. Inability to urinate
  2. Reduction in the flow of urine
  3. Increased urge to urinate frequently
  4. Pain while urinating
  5. Urinary incontinence
  6. Abdominal pain
  7. Swelling of the penis
  8. Discharge from the urethra
  9. Blood in the urine or semen
  10. Dark urine
  11. The bladder feeling gull even after urinating

A physical examination and tests that measure the rate of urine flow and chemical composition of the urine can help a doctor determine a diagnosis of urethral strictures. You may also need to undergo STD tests and a cystoscopy. An X-ray may also help locate the stricture. The treatment for this condition depends on the severity of the symptoms.

Non-surgical treatment for this condition involves using a dilator to widen the urethra. However, there is no guarantee the blockage will not recur at a later date. Alternatively, a permanent catheter may also be inserted.

There are two forms of surgical treatment for a urethral stricture.

  • Open urethroplasty: This involves removing the infected or scar tissue and restructuring the urethra. The results of this procedure depend on the size of the blockage. It is usually advised only in cases of long, severe strictures.
  • Urine flow diversion: In the case of a severe blockage and damage to the bladder, the doctor may advise rerouting the flow of urine to an abdominal opening. This process involves connecting the ureters to an incision in the abdomen with the help of part of the intestines. If you wish to discuss about any specific problem, you can consult a Urologist.
3605 people found this helpful

Stricture Urethra - Symptoms And Treatment!

Dr. Upwan K Chauhan 87% (12 ratings)
MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery, MNAMS (Membership of the National Academy) (General Surgery)
Urologist, Ghaziabad
Stricture Urethra - Symptoms And Treatment!

The tube transporting urine from the bladder out of the body is known as the urethra. Under normal circumstances, this tube is wide enough for urine to flow freely but in some cases, one or more section can get narrowed and restrict the flow of urine. This may be diagnosed as a urethral stricture. This length of this stricture can range from 1 cm to affecting the entire length of the urethra.

This is caused by scar tissue or inflammation of tissue in the urethra. While this is a common condition that affects men, it is rarely seen to affect women. An enlarged prostate, exposure to STDs like gonorrhoea or chlamydia, suffering from an infection that causes urethral inflammation and irritation or having had a catheter recently inserted can increase the risk of suffering from a urethral stricture. An injury or tumour located near the urethra can also cause this condition. Hence, preventing this condition is not always a possibility.

Common symptoms to look out for include:

  1. Inability to urinate
  2. Reduction in the flow of urine
  3. Increased urge to urinate frequently
  4. Pain while urinating
  5. Urinary incontinence
  6. Abdominal pain
  7. Swelling of the penis
  8. Discharge from the urethra
  9. Blood in the urine or semen
  10. Dark urine
  11. The bladder feeling gull even after urinating

A physical examination and tests that measure the rate of urine flow and chemical composition of the urine can help a doctor determine a diagnosis of urethral strictures. You may also need to undergo STD tests and a cystoscopy. An X-ray may also help locate the stricture. The treatment for this condition depends on the severity of the symptoms.

Non-surgical treatment for this condition involves using a dilator to widen the urethra. However, there is no guarantee the blockage will not recur at a later date. Alternatively, a permanent catheter may also be inserted.

There are two forms of surgical treatment for a urethral stricture.

  • Open urethroplasty: This involves removing the infected or scar tissue and restructuring the urethra. The results of this procedure depend on the size of the blockage. It is usually advised only in cases of long, severe strictures.
  • Urine flow diversion: In the case of a severe blockage and damage to the bladder, the doctor may advise rerouting the flow of urine to an abdominal opening. This process involves connecting the ureters to an incision in the abdomen with the help of part of the intestines.
2790 people found this helpful

Urethral Stricture - Know About Its Causes and Effective Treatment Options!

Dr. Nandakishore Sk 90% (137 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, DNB - Urology
Urologist, Gurgaon
Urethral Stricture - Know About Its Causes and Effective Treatment Options!

The major job of the Urethra is to drain the urine out of the body. It plays a vital part in ejaculating the sperm from the body of a man. When this thin tube gets swelled, wounded, or infected, it restricts the flow of urine. This medical condition is known as Urethral Stricture. The disease may make some people feel soreness during their urination. As the urethra of a man is longer than that of a woman's and which is why men are more susceptible to the condition.

Common causes of Urethral Stricture-

The common causes of the disease include wounds, infections, and a non-communicable form of urethritis. Other major causes of the disorder include:

  • Benign prostatic hyperplasia.
  • Radiation.
  • Pelvic cracks.
  • Catheter insertion.
  • Prostate surgery.

Common symptoms of the disease-

The symptoms of the disorder may range from mild to severe. These symptoms include:

  • Low urine flow during urination.
  • Sudden and frequent urination.
  • Pain during urination.
  • Soreness in the pelvic region.
  • Penile soreness and bump.

Ways to diagnose the disease

The Urethral Stricture can be diagnosed in several ways, including reviewing the patient's medical history. The disorder can also be diagnosed through physical tests, such as:

  • Measuring the urine flow during urination.
  • Examining the chemical and physical characteristics of urine.
  • Examining the health condition of the bladder and urethra.
  • Measuring the size of the urethral opening.

Effective treatments for urethral stricture

Usually, the treatment options for Urethral Stricture mainly count on its severity. Some of the treatment options include:

  1. Nonsurgical method: In this technique, the doctor will make the urethra wider using a dilator, which is a medical tool. This is a simple procedure, which allows the patient to resume his or her errands within some hours of the procedure.
  2. Surgical procedure: When the disease becomes more severe and the patient is suffering from the disorder for a longer period, then Urethroplasty is the most suitable surgical procedure. In this procedure, the surgeon will remove the infected tissue and will restructure the urethra.  

Diverting the flow of urine

In harsh cases, the doctor may recommend a procedure to divert the flow of urine. In this procedure, the physician will create a hole in the patient's abdomen to make the urine flow through that hole. This procedure is usually helpful when the bladder is completely damaged.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1912 people found this helpful

Stricture Urethra - Surgical Options That Can Help Treat It!

Dr. Piyush P. Singh 90% (10 ratings)
MBBS, MS - General Surgery, MCh - Urology
Urologist, Lucknow
Stricture Urethra - Surgical Options That Can Help Treat It!

The tube transporting urine from the bladder out of the body is known as the urethra. Under normal circumstances, this tube is wide enough for urine to flow freely but in some cases, one or more section can get narrowed and restrict the flow of urine. This may be diagnosed as a urethral stricture. This length of this stricture can range from 1 cm to affecting the entire length of the urethra.

This is caused by scar tissue or inflammation of tissue in the urethra. While this is a common condition that affects men, it is rarely seen to affect women. An enlarged prostate, exposure to STDs like gonorrhoea or chlamydia, suffering from an infection that causes urethral inflammation and irritation or having had a catheter recently inserted can increase the risk of suffering from a urethral stricture. An injury or tumour located near the urethra can also cause this condition. Hence, preventing this condition is not always a possibility.

Common symptoms to look out for include:

  1. Inability to urinate
  2. Reduction in the flow of urine
  3. Increased urge to urinate frequently
  4. Pain while urinating
  5. Urinary incontinence
  6. Abdominal pain
  7. Swelling of the penis
  8. Discharge from the urethra
  9. Blood in the urine or semen
  10. Dark urine
  11. The bladder feeling gull even after urinating

A physical examination and tests that measure the rate of urine flow and chemical composition of the urine can help a doctor determine a diagnosis of urethral strictures. You may also need to undergo STD tests and a cystoscopy. An X-ray may also help locate the stricture. The treatment for this condition depends on the severity of the symptoms.

Non-surgical treatment for this condition involves using a dilator to widen the urethra. However, there is no guarantee the blockage will not recur at a later date. Alternatively, a permanent catheter may also be inserted.

There are two forms of surgical treatment for a urethral stricture.

  • Open urethroplasty: This involves removing the infected or scar tissue and restructuring the urethra. The results of this procedure depend on the size of the blockage. It is usually advised only in cases of long, severe strictures.
  • Urine flow diversion: In the case of a severe blockage and damage to the bladder, the doctor may advise rerouting the flow of urine to an abdominal opening. This process involves connecting the ureters to an incision in the abdomen with the help of part of the intestines.
  • Endoscopic cutting of stricture ( D.V.I.U.): A thin tube with a camera (endoscope) is inserted into the urethra to visualize the stricture. DVIU may be repeated if the stricture recurs, however, after the third treatment or recurrence of the stricture less than three months after the procedure, repeat DVIU offers no long-term success.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2218 people found this helpful

Dhat Syndrome - Passage of Semen

Dr. Ramesh Maheshwari 88% (6368 ratings)
MD-Dermatology, MBBS
Sexologist, Pune
Dhat Syndrome - Passage of Semen
Explanation to the patient -

This is not actually semen but a secretion from the prostatic and urethral glands. When a man squats in the Indian style toilet and strains a little, the pressure is transmitted from the rectum to the prostate and urethra, and this in turn results in a few drops of a sticky substance to come out of the urethra.
278 people found this helpful

Male sexual anatomy

Dr. Anuj Kumar 89% (1089 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Faridabad
Male sexual anatomy

Male sexual anatomy

The organs and glands that make up the male sexual anatomy include:

  • Testicles - after puberty, a person's testicles, placed at the base of the penis, produce male sex cells referred to as sperm. Additionally beginning at puberty, testicles produce testosterone, the male intercourse hormone. A person's sperm production, as soon as started, maintains in the course of his lifestyles; sexually mature adult males produce thousands and thousands of sperm cells every day. The testicles are positioned beneath the penis, outside the frame, wherein the ideal temperature to make sperm may be maintained as it's miles numerous tiers too hot for sperm to be feasible (capable of fertilizing eggs) inside the body.
  • Scrotum - the testicles are protected through a pouch of skin called the scrotum. The scrotum and the muscles surrounding it can pull the testicles toward the frame when they are too bloodless, and loosen up far away from the frame when the testicles are too warm. The scrotum also holds the epididymis.
  • Epididymis and vas deferens - the epididymis stores the sperm after the testicles produce them, and the vas deferens transports the sperm from the epididymis to the urethra.
  • Urethra - the urethra is a duct, or tube, that transports fluids from the inner of the body to the out of doors. In each woman and men, the urethra is hooked up to the bladder and is used to pass urine out of the body. In men, but, the urethra is also connected to the 'accessory glands,' which produce semen, and to the vas deferens, the duct that brings the sperm from the epididymus.
  • Penis - the penis is perhaps the maximum seen a part of the male sexual anatomy. It's far made of parts, the shaft and the head (also known as the glans.) the shaft houses the corpora cavernosa (flexible cylinders produced from erectile tissue that run the period of the penis and assist erections), and the corpus spongiosum (erectile tissue surrounding the urethra). In its reproductive capacity, the urethral establishing on the tip of the penis grants sperm into the vagina. Urine also flows out of the body via the urethral commencing.
  • Accent glands - there are numerous glands that work together to provide semen or seminal fluid. Sperm can stay in the woman reproductive system for as much as 48 hours, and seminal fluid enables the sperm move around and stay nourished. The seminal vesicle produces a fluid that gives strength to the sperm as they seek out the girl sex cellular or the egg. The prostate gland makes a special fluid that allows the sperm pass greater fast thru the woman reproductive machine. Every other set of glands referred to as bulbourethral or cowper's glands, makes a small quantity of fluid that helps guard the sperm on its way via the urethra through neutralizing any leftover traces of acidic urine.
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