Urethral stricture is an abnormal narrowing of the urethra (the tube that releases urine from the body).
Causes, incidence, and risk factors
Urethral stricture may be caused by inflammation or scar tissue from surgery, disease, or injury. It may also be caused by external pressure from an enlarging tumor near the urethra, although this is rare.
- Dysuria (painful urination)
- Difficulty urinating
- Slow urine stream (may develop suddenly or gradually)
- Spraying of urine stream
- Decreased urine output
- Increased urinary frequency or urgency
- Blood in the semen
- Pelvic pain
- Lower abdominal pain
- Bloody or dark urine
- Discharge from the urethra
- Swelling of the penis
- Urinary retention
A retrograde urethrogram to confirm diagnosis
Cystoscopic visual urethrotomy may be all that is needed for small stricture. A urethral stent may be inserted thru the cystoscope.
Recently laser visual urethrotomy is being done with good result to avoid recurrence.
Laser for Stricture
An open urethroplasty may be performed for longer stricture by removing the diseased portion or replacing it with other tissue.
There are no drug treatments currently available for this disease.