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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 ...
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Damage to the urethra, such as by kidney stones, chronic infection, cancer, or from catheterisation, can lead to narrowing, called a urethral stricture. [24] The location and structure of the narrowing can be investigated with a medical imaging scan in which dye is injected through the urinary meatus into the urethra, called a retrograde ...
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 ]
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 ...
Treatment of ureteric strictures varies from one patient to another depending on the level, cause and extent of stricture in addition to patient factors such as comorbidities and preferences. Treatment options include minimally invasive palliative procedures such as Nephrostomy tube insertion or ureteric stents insertion or ureteral balloon ...
A urethrotomy is an operation which involves incision of the urethra, especially for relief of a stricture.It is most often performed in the outpatient setting, with the patient (usually) being discharged from the hospital or surgery center within six hours from the procedure's inception.