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A urethral stricture is a narrowing of the urethra, the tube connected to the bladder that allows urination. The narrowing reduces the flow of urine and makes it more difficult or even painful to empty the bladder. [1] Urethral stricture is caused by injury, instrumentation, infection, and certain non-infectious forms of urethritis. The ...
The protection provided by the foreskin for the glans penis and meatus has been recognized since 1915. In the absence of the foreskin the meatus is exposed to mechanical and chemical irritation from ammoniacal diaper (nappy) that produces blister formation and ulceration of the urethral opening, which eventually gives rise to meatal stenosis (a narrowing of the opening). [1]
It is also sometimes called a stricture (as in urethral stricture). [3] Stricture as a term is usually used when narrowing is caused by contraction of smooth muscle (e.g. achalasia, prinzmetal angina); stenosis is usually used when narrowing is caused by lesion that reduces the space of lumen (e.g. atherosclerosis). [4]
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Many leading urologists in the United States consider urethrotomy to be (almost) totally ineffective at providing long-term resolution of urethral stricture disease, and advocate excision of the damaged area followed by either a surgical anastomosis of the (now) patent urethral ends, or a grafting of similar tissue harvested from elsewhere on ...
A meatotomy (/ m iː ə ˈ t ɒ t əm ɪ / [1] [2]) is a form of penile modification in which the underside of the glans is split, extending the urinary meatus.The procedure may be performed by a doctor to alleviate meatal stenosis or urethral stricture.
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Spot images are taken at 30 to 45 degrees to visualise the entire spongy urethra (penile urethra). [ 4 ] If there is no contraindication to full urinary catheterisation such as false passage or stricture, the urinary catheter should be inserted until the urinary bladder to perform voiding cystourethrography to visualise the prostatic urethra ...