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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]
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.
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.
Urethroplasty is regarded as the gold standard treatment for urethral strictures and offers better outcomes in terms of recurrence rates than dilatations and urethrotomies. It is probably the only useful modality of treatment for long and complex strictures though recurrence rates are higher for this difficult treatment group. [1]
Structural and or traumatic changes in the urinary tract can lead to hemorrhage, functional blockage or inflammation. Colonization by bacteria, protozoa or fungi can cause infection. Uncontrolled cell growth can cause neoplasia. The term "uropathy" refers to a disease of the urinary tract, while "nephropathy" refers to a disease of the kidney ...
Several radiological studies can be used to detect such a stricture. Ultrasound Scans can show signs of obstruction such as hydronephrosis, while a CT scans can show the same and can locate the stricture or narrowing especially if used with contrast (CT Urogram), it can delineate other pathologies that might contribute to stricture such as ...
Urethral syndrome is defined as symptoms suggestive of a lower urinary tract infection but in the absence of significant bacteriuria with a conventional pathogen. [1] It is a diagnosis of exclusion in patients with dysuria and frequency without demonstrable infection . [ 2 ]