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Urethral Stricture
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Urethral Stricture Means….
- Urethral Stricture Means An Abnormal Narrowing Of The Tube That Carries Urine Out Of The Body From The Bladder (tube Is Called Urethra).
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Urethral Stricture
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- Urethral Stricture Disease Has Been Cited As Long Ago As Ancient Greek Writings That Report Establishing Bladder Drainage With The Passage Of Various Catheters.
- Urethral Stricture Occurs Secondary To Inflammatory, Ischemic Or Traumatic Processes. These Processes Lead To Scar Tissue Formation: Scar Tissue Contracts And Reduces The Caliber Of The Urethral Lumen, Causing Resistance To The Antegrade Flow Of Urine.
- During The Early Stages Of The Condition, The Subject May Experience Pain During Urination And The Inability To Fully Empty The Bladder. It Is Not Uncommon For The Bladder’s Capacity To Significantly Increase Due To This Inability To Completely Void.
- Urethral Stricture May Cause Problems With Urination, Including In Certain Cases Complete Inability To Urinate, Which Is A Medical Emergency.
Why It Occurs?
- Urethral Strictures Are Generally Caused By…
- Injury To The Tract
- Injury To Pelvic Area
- Viral Or Bacterial Infection Of The Tract, Often Caused By Certain STDs.
- Frequent Urethritis
- Instrumentation Of The Urethra, Particularly Before The Advent Of Flexible Uro-endoscopy, Remains An Important Causative Event.
- Benign Prostatic Hyperplasia(BPH)
- Congenital Urethral Stricture Is The Rare Incidence.
What Are The Symptoms?
- In Urethral Stricture, Obstructive Voiding Symptoms Are Very Common, They Include…
- Decreased Force Of Urinary Stream
- Incomplete Emptying Of Bladder
- Urinary Terminal Dribbling
- Urinary Intermittency
- Deflected Urinary Stream
- Apart From These Obstructive Voiding Symptoms, Following Symptoms Are Also Present In Patient. They Are…..
- Increased Frequency Of Micturition
- Acute Or Chronic Retention Of Urine
- Blood In The Semen
- Bloody Or Dark Urine
- Discharge From Urethra
- Painful Urination (Dysuria)
- Pain In The Lower Abdomen
- Pelvic Pain
- Swelling Of Penis, Etc.
Back To Top
What Are The Tests Which One Has To Undergo?
- Patients With Above Symptoms Have To Undergo Following Tests…
- Urethroscopy
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Urethrography
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- Urethrography
- Cystoscopy
- Post Void Residual (PVR) Volume
- Retrograde Urethrogram
- Tests For Chlamydia And Gonorrhoea
- Urine Analysis
- Urinary Flow Rate
- Urine Culture
How It Can Be Treated?
1. Instrumental Treatment:
- The Urethra May Be Widened (dilated) During Cystoscopy By Inserting A Thin Instrument To Stretch The Urethra While You Are Under Local Anesthesia. You May Be Able To Treat Your Stricture By Learning To Dilate The Urethra At Home.
- If Urethral Dilation Is Not Possible, You May Need Surgery To Correct The Condition. Surgical Options Depend On The Location And Length Of The Stricture. If The Stricture Is Short And Not Near The Urinary Sphincter, Options Include Cutting The Stricture Via Cystoscopy Or Inserting A Dilating Device.
- Intermittent Dilatation (at Suitable Intervals, Twice A Week 1st, Once A Week For Month, Once A Month For A Year, Then Once Every Year)
- Bougies Of Increasing Size (gum, Elastic, Continuous Dilatation)
- Continuous Dilatation
2. Surgical Treatment:
An Open urethroplasty may Be Done For Longer Strictures. This Surgery Removes The Diseased Part Or Replaces It With Other Tissue. The Results Vary Depending On The Size And Location, The Number Of Treatments You Have Had, And The Surgeon's Experience.
- Permanent Urethral Stents
- Primary Repair
What Is The Prognosis?
- Treatment Usually Results In An Excellent Outcome. However, Repeated Therapies May Be Needed To Remove The Scar Tissue.
Back To Top
Is There Any Complication?
- Urethral Stricture May Totally Block Urine Flow, Causing Acute Urinary Retention. This Condition Must Be Treated Quickly.
- Urethral Diverticulum
- Periurethral Abscess
- Urethral Fistula
- Bilateral Hydronephrosis
- Frequent Urinary Infection
Complications After Surgery:
- Urinary Tract Infection
- Wound Infection
- Wound Adhesions
- Urethrocutaneous Fistula
- Recurrence Of Urethral Stricture
Is There Any Treatment In Homoeopathy?
- In Case Of Primary Stage Where A Small Part Of Urethra Is Affected And There Is No Medical Emergency, In Such Cases Homoeopathy Can Help The Patient To Recover From His Miserable Condition And Also To Avoid Surgery!
- After Surgery Also Homoeopathy Can Plays A Vital Role To Prevent The Recurrence Of Urethral Stricture!
- Homoeopathy Can Also Help The Patient To Prevent Complications Taken Place After Surgery.
- In Case Of Much Damage Of The Tissues, Surgery May Be Must For The Patient, Let Your Physician Decide What Is Best For You.
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