URETHRAL STRICTURE

It is a narrowing of the urethra caused by injury, instrumentation, infection and certain non-infectious form of urethritis. The important sign of urethral stricture is a weak urinary stream, inability to completely empty the bladder. Homeopathy has a good scope in treating urethral stricture without surgery. Clematis, Prunus Spinosa, Chimaphila etc. can be administered on the basis of the totality of symptoms.

A urethral stricture is a narrowing of the urethra caused by scarring, which functionally has the effect of obstructing the lower urinary tract. The consequences of this obstruction can enormously impair the patient’s quality of life by causing micturition disturbances; they can also damage the entire urinary tract, resulting in loss of renal function.

CAUSES

Urethral stricture may be caused by swelling or scar tissue from surgery. It can also occur after an infection or injury. Rarely, it may be caused by pressure from a growing tumor near the urethra.

Other factors that increase the risk for this condition include:

  • Sexually transmitted infection (STI)
  • Procedures that place a tube into the urethra (such as a catheter or cystoscope)
  • Benign prostatic hyperplasia(BPH)
  • Injury to the pelvic area
  • Repeated urethritis

Strictures that are present at birth (congenital) are rare. The condition is also rare in women.

SYMPTOMS

Symptoms include:

  • Blood in the semen
  • Discharge from the urethra
  • Bloody or dark urine
  • Strong urge to urinate and frequent urination
  • Inability to empty bladder(urinary retention)
  • Painful urination or difficulty urinating
  • Loss of bladder control
  • Increased frequency or urgency to urinate
  • Pain in the lower abdomen and pelvic area
  • Slow urine stream (may develop suddenly or gradually) or spraying of urine
  • Swelling of the penis

DIAGNOSIS

A physical exam may show the following:

  • Decreased urinary stream
  • Discharge from the urethra
  • Enlarged bladder
  • Enlarged or tender lymph nodes in the groin
  • Enlarged or tender prostate
  • Hardness on the under surface of the penis
  • Redness or swelling of the penis

Sometimes, the exam reveals no abnormalities.

Tests include the following:

  • Cystoscopy
  • Postvoid residual (PVR) volume
  • Retrograde urethrogram
  • Tests for chlamydia and gonorrhea
  • Urinalysis
  • Urinary flow rate
  • Urine culture
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