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Urethral Stricture

Overview

A urethral stricture is an abnormal narrowing of the urethra — the tube that carries urine out of the body — caused by scar tissue. It can significantly restrict urine flow and, over time, affect the bladder and kidneys if left untreated.

Symptoms

Progressively weak or spraying urine stream
Straining to urinate
A sense of incomplete emptying
Recurrent urinary tract infections
Sudden complete inability to urinate
Pain or burning during urination

Causes

Causes include prior injury, previous catheter use or surgery, urethral infections, and certain inflammatory skin conditions that scar the urethral lining.

Risk Factors

Prior catheterizationRepeated or prolonged catheter use can scar the urethra.
Pelvic traumaInjury to the pelvis or perineum is a common cause in younger men.
Prior prostate surgeryCan occasionally scar the urethra at the surgical site.
Recurrent urethritisChronic inflammation or infection of the urethra.

Diagnosis

A urine flow test, a retrograde urethrogram (a specialized X-ray), and sometimes cystoscopy confirm the stricture's exact location and length, which guides treatment choice.

Complications If Untreated

Untreated strictures can worsen over time and lead to bladder stones, recurrent infections, urinary retention, and eventually kidney damage from chronic back-pressure.

Treatment Options

Prevention Tips

Careful catheter technique, prompt treatment of urethral infections, and gentle handling during any urological procedure all help reduce the risk of scarring.

Lifestyle Advice

Anyone with a history of catheterization or pelvic injury who notices a weakening stream should get evaluated promptly rather than waiting for it to worsen.

Frequently Asked Questions

A urethral stricture is a narrowing of the urethra caused by scar tissue, restricting urine flow. When should I consult Dr. Raju R?

A progressively weak or spraying urine stream, straining, and incomplete emptying are the classic signs. When should I consult Dr. Raju R?

Causes include injury, prior catheter use or surgery, infections, and certain inflammatory skin conditions. When should I consult Dr. Raju R?

A flow test, retrograde urethrogram X-ray, and sometimes cystoscopy confirm the stricture's location and length. When should I consult Dr. Raju R?

Options range from dilation and internal urethrotomy for simple strictures to urethroplasty for longer or recurrent ones. When should I consult Dr. Raju R?

Untreated strictures can worsen and cause bladder stones, infections, retention, and eventually kidney damage. When should I consult Dr. Raju R?

Consult Dr. Raju R

Expert Urology specialist in Bangalore

Book Appointment📞 9886777592