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Urethral Stricture

This document discusses urethral strictures, including their causes, clinical features, complications, investigation, and management. Urethral strictures can be caused by inflammation from infections like gonorrhea or other non-specific urethritis. Clinical features include a poor urine stream, dribbling after urination, and splitting of the urine stream. Complications include urine retention, infection, obstructed ejaculation, and cancer. Investigation involves measuring urine flow rates and performing urethrography and urethroscopy. Management options are dilation, endoscopic division, or urethroplastic procedures.

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Septya Widani Rizkya Putri
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212 views10 pages

Urethral Stricture

This document discusses urethral strictures, including their causes, clinical features, complications, investigation, and management. Urethral strictures can be caused by inflammation from infections like gonorrhea or other non-specific urethritis. Clinical features include a poor urine stream, dribbling after urination, and splitting of the urine stream. Complications include urine retention, infection, obstructed ejaculation, and cancer. Investigation involves measuring urine flow rates and performing urethrography and urethroscopy. Management options are dilation, endoscopic division, or urethroplastic procedures.

Uploaded by

Septya Widani Rizkya Putri
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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URETHRAL

STRICTURE
Aetiology

In children urethritis of unknown cause may


give haematuria, form tiny granulomatous
polypi and be succeeded by a stricture usually in
the bulbar urethra. In adults urethritis is often
caused by Neisseria gonorrhoaeae, but
Chlamydia and other agents responsible for
non-specific urethritis may lead to a stricture.
The reason seems to be either that the raw
inflamed lining of the urethra sticks together or
fibrosis following inflammation in the
paraurethral glands produces a narrowing of the
wall of the urethra.
OTHER CAUSES OF STRICTURE
For completeness one may list the causes of
stricture :
1. Congenital
2. Traumatic
3. Inflammatory
4. Neoplasms
5. Balanitis xerotica obliterans
Clinical features of urethral stricture

A poor stream is accompanied by a poor flow-


rate and the development of the same set of
symptoms caused by detrusor hyperytrophy that
were noted in the context of the prostate. Urine
is trapped in the urethra upstream of the
stricture and dribbles away after the patient
thinks he has finished his micturition. Often the
patient observes a spraying or a bifurcated
urinary stream.
Complications of urethral stricture

• Retention of urine
• Urinary infection
• Obstructed ejaculation
• Chordee
• Calculi paraurethral abscess
• Squamos cell carcinoma
Investigation of urethral stricture

1. FLOW-RATES
2. URETHROGRAPHY
3. URETHROSCOPY AND ENDOSCOPIC
PHOTOGRAPHY
Management of urethral strictures

There is an old urological adage ‘once a stricture


always a stricture’. Even today, when our
armamentarium has proliferated greatly, the
truth of this dictum is unchallenged. When you
read any new method of treating urethral
strictures, always say to yourself, ‘and how long
is the follow-up?’
There are three methods of management :

1. Dilatation.
2. Endoscopic division-internal urethrotomy
3. Urethroplastic procedures.

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