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- Patient Comments: Urethral Stricture - Symptoms
- Patient Comments: Urethral Stricture - Diagnosis
- Patient Comments: Urethral Stricture - Treatment
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- Urethral stricture facts
- What is the urethra?
- What is urethral stricture?
- What are the causes of urethral stricture?
- What are the symptoms and signs of urethral stricture?
- What type of doctor treats urethral obstruction?
- How is urethral stricture diagnosed?
- Are there any special tests for diagnosing urethral stricture?
- What is the treatment for urethral stricture?
- What surgical options are available for urethral stricture?
- Can urethral stricture be prevented?
- What is the prognosis for urethral stricture?
What are the causes of urethral stricture?
The following are common causes of scarring or narrowing of the urethra:
- Trauma from injury or accidents with damage to the urethra or bladder (for example, falling on a frame of a bicycle between the legs, or a car accident)
- Pelvic injury or trauma
- Previous procedures involving the urethra (urinary catheters, surgeries, cystoscopy)
- Previous prostate surgery (TURP or transurethral resection of the prostate for prostate enlargement)
- Prostate enlargement
- Cancer of the urethra (rare)
- Infections of the urethra (sexually transmitted diseases or STDs, urethritis, gonorrhea, chlamydia)
- Prostate infection or inflammation (prostatitis)
- Previous hypospadias surgery (a congenital birth defect in which the opening of the urethra is on the underside of the penis instead of the tip)
- Congenital malformations of the urethra, which rarely can cause urethral stricture in children
According one study, about one-half of causes of urethral stricture are from medical procedures and manipulation of the urethra or nearby structures (surgeries, catheter insertion, etc.). In about one-third of cases, no identifiable cause was found.
What are the symptoms and signs of urethral stricture?
Some of the possible symptoms and complications of urethral stricture include the following:
- Difficulty starting urine flow
- Painful urination (dysuria)
- Urinary tract infection (UTI)
- Urinary retention
- Incomplete emptying of bladder
- Decreased urine stream
- Dribbling of urine
- Spraying or double streaming urine
- Blood in the urine (bloody or dark-appearing urine) known as hematuria
- Blood in the semen
- Urinary incontinence (loss of bladder control)
- Pelvic pain
- Discharge from the urethra
- Reduced ejaculation force