Urethral stricture

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Revision as of 16:47, 5 October 2024 by Nikolas (talk | contribs) (Created page with "<section begin="urology" />'''Urethral stricture''' is a fibrotic narrowing of urethra. == Etiology == * Trauma * Iatrogenic ** Catheterization ** Instrumentation ** Inappropriate removal of Foley catheter * Congenital * Idiopathic * Post-infectious == Clinical features == * Causes partial or complete lower urinary tract obstruction * Slow urinary stream * Incomplete bladder emptying * Dribbling == Diagnosis == * Uroflowmetry ** Shows a plateau * Retrograde and voi...")
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Urethral stricture is a fibrotic narrowing of urethra.

Etiology

  • Trauma
  • Iatrogenic
    • Catheterization
    • Instrumentation
    • Inappropriate removal of Foley catheter
  • Congenital
  • Idiopathic
  • Post-infectious

Clinical features

  • Causes partial or complete lower urinary tract obstruction
  • Slow urinary stream
  • Incomplete bladder emptying
  • Dribbling

Diagnosis

  • Uroflowmetry
    • Shows a plateau
  • Retrograde and voiding urethrography

Treatment

  • Urethral dilation
    • Symptomatic, not curative
  • Urethrotomy
    • Endoscopic incision of stricture
    • Stricture frequently recurs
  • Urethroplasty
    • Open surgical reconstruction of stricture
    • If urethrotomy fails