Urethral Strictures

Urethral strictures are narrowings of the urethra, which can restrict urine flow and lead to various urinary problems.

Causes and Risk Factors

• Injury: Trauma to the pelvic area or urethra can lead to scar tissue formation.
• Infections: Sexually transmitted infections (STIs) or urinary tract infections (UTIs) can cause inflammation and scarring.
• Previous Surgery: Surgical procedures involving the urethra may lead to strictures as a complication.
• Congenital Conditions: Some individuals may be born with structural abnormalities in the urethra.

Symptoms

• Weak Urine Stream: Difficulty urinating or a reduced force of the urine stream.
• Frequent Urination: Increased urgency or frequency of urination, sometimes with the need to urinate at night.
• Pain: Discomfort or pain during urination (dysuria) or in the pelvic region.

Diagnosis

Diagnosis is often made through patient history, physical examination, and imaging tests like retrograde urethrograms (RUG) or cystoscopy to evaluate the stricture.

Treatment Options

• Dilation: Non-surgical expansion of the urethra using a catheter or other instruments.
• Urethroplasty: Surgical procedure to remove the narrowing and reconstruct the urethra.
• Stenting: Placement of a stent to keep the urethra open, though this is less common.

Conclusion

Urethral strictures can lead to complications if left untreated. Seeking medical attention for symptoms is essential for proper diagnosis and management.