Urethra is a tube that connects the bladder and the urinary meatus, and carries urine from the urinary bladder to be expelled from our body. Urethra is usually wide enough for normal quantity if urine to flow through freely and easily. However, when the urethra narrows pertaining to certain condition, it may restrict the flow of urine. Such a condition is known as urethral stricture. The condition affects men mainly.

1. URETHRAL
STRICTURE: CAUSES,
RISK FACTORS, AND
DIAGNOSIS
DR. ANANT KUMAR

2. Urethra is a tube that connects the bladder and the
urinary meatus, and carries urine from the urinary
bladder to be expelled from our body. Urethra is usually
wide enough for normal quantity if urine to flow through
freely and easily. However, when the urethra narrows
pertaining to certain condition, it may restrict the flow of
urine. Such a condition is known as urethral stricture.
The condition affects men mainly.

3. • Urethral stricture involves narrowing down of the urethra or its constriction. It is often
caused due to presence of scar tissues or tissue inflammation. Scar tissue, in turn, can be
caused by several factors. The best urologist in delhi suggests that men having penile
implants and younger boys who have went through hypospadias surgery (it’s a surgery to
treat underdeveloped urethra) have higher risks of developing a urethral stricture.
• Straddle injuries are common form of trauma that may lead to development of urethral
stricture in a person. Examples of a straddle injury may include getting hit near or in the
area that’s close to scrotum, or falling in the bar of bicycle.
CAUSES

4. Other common causes of developing urethral stricture
may include:
• Pelvic fractures
• Radiation
• Catheter insertion
• Benign prostatic hyperplasia
• Surgery performed on prostate gland
Some rare causes of urethral stricture include:
• Sexually-transmitted diseases or STIs such as
chlamydia or gonorrhea
• Repetitive or untreated urinary tract infections
• Tumor(s) located close to the urethra

5. Some men have higher risk of urethral stricture as compared to others, especially
those men who have the following:
• Have sexually transmitted diseases(s) – one or more
• An enlarged prostate
• Had urethritis (irritation and swelling in the urethra) in the past, maybe due to
infection
• Had catheter placement recently
RISK FACTORS

6. • Doctors may use the following approaches for diagnosis of urethral stricture
before going for stricture urethra treatment in delhi:
Reviewing your medical history and symptoms
• You may self-report symptoms of urethral stricture by looking it up. However,
beware certain symptoms are same as symptoms of kidney diseases. If you have
had kidney transplant delhi, it is better you consult your doctor. Your doctor will
also ask you about your medical history and past illnesses and if you had any
major medical procedures done in the past. These are asked so as to better
determine if there are any risk factors present.
DIAGNOSIS

7. Performing physical examination
With a simple physical examination and analysis of the area including the penis, the doctor can
identify if there is urinary stricture present. For instance, an experienced doctor will readily observe
urethral discharge or redness and determine if an area or more is swollen or hard.
Conducting tests
To diagnose a urethral stricture in a definite manner, your doctor may decide to perform several
tests.
• Measure the rate of urine flow
• Tests for gonorrhea and chlamydia
• Measure the size of urethral opening
• Cystoscopy: procedure where a small tube containing a miniature camera is inserted into the
body to get a view of the inside of the urethra and the bladder
• Analyzing the chemical and physical properties of your urine sample to determine presence of
bacteria or blood

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