A urethral stricture is a narrowing of the urethra caused by injury, infection or instrumentation that blocks the flow of urine. Risk factors include being male as male urethras are longer and more susceptible to disease or injury. Common causes are trauma, sexually transmitted infections, catheterization or prostate surgery. Symptoms include painful urination, slow urine stream, decreased urine output and urinary tract infections. Diagnosis involves history, exam, imaging tests and cystoscopy. Treatment options include dilation, urethrotomy, urethroplasty or stents to reopen the blocked urethra. Complications can include urinary retention, infections and kidney damage if left untreated.

1. URETHRAL STRICTURES
MR. MOUNESH BADIGER, MSc (N)
Senior Tutor
MEDICAL SURGICAL DEPARTMENT
KAHER ,IONS,BELAGAVI
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3. URETHRAL STRICTURE
A urethral stricture is a scar in or around
the urethra, which can block the flow of
urine, and is a result of inflammation,
injury or infection.
OR
A urethral stricture is a narrowing of
the urethra caused by injury,
instrumentation, infection, and certain
non-infectious forms of urethritis.
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5. RISK FACTORS
Urethral strictures are more common in men
because urethras are longer than those in
women.
Men's urethras are more susceptible to
disease or injury.
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6. ETIOLOGICAL FACTORS
 Stricture disease may occur anywhere from
the bladder to the tip of the urethra.
 The common causes of stricture are trauma to
the urethra
 Infections such as sexually transmitted
diseases
 Trauma such as straddle injuries, direct trauma
to the urethra and catheterization can result in
strictures of the anterior part of the urethra.
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7.  In adults, urethral strictures from instrumentation
trauma may occur after prostate surgery and
urinary catheterization.
 Damage from instrumentation (Cystoscopy)
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8. SIGNS & SYMPTOMS
Painful urination. (Dysuria)
Slow urine stream or urinary
hesitancy
Decreased urine output
(Oliguria)
Spraying of the urine stream.
 Burning micturation
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9. Abdominal pain.
Urethral discharge.
Urinary tract infections in men.
Infertility in men.
 Lower abdomen distension or
bladder distension
 Straining or pain while urinating
Blood in the urine.
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11. DIAGNOSTIC EVALUATION
History collection
Physical examination.
 Urine examination
 Blood investigations
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12. Urethral imaging (X-rays or ultrasound).
Cystoscopy
Retrograde urethrogram
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13. Normal Urethrogram Obstructive Urethrogram
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14. MEDICAL MANAGEMENT
• Antibiotics
• Antispasmodic
• Antiemetic
• Loop diuretics
• SPC
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15. SURGICAL MANAGEMENT
 Treatment options for urethral stricture disease are
varied and selection depends upon the length,
location and degree of scar tissue associated with
the stricture.
 The main treatment options include enlarging the
stricture by gradual stretching (dilation).
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16. Cutting the stricture with a endoscopic
equipment (urethrotomy) and surgical repair
of the stricture with reconnection and
reconstruction called urethroplasty.
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Urethral Stents where a biocompatible
hollow tube is placed on the inside of the
stricture to allow for free passage of urine.

18. COMPLICATIONS
• Urinary retention
• Prostatitis
• Bladder dysfunction
• Periurethral abscess
• Urethral fistula
• Bilateral hydronephrosis
• Urinary infections
• Urinary calculus
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19. ANY QUESTIONS…!
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