A urethral stricture is a narrowing of the urethra caused by scarring that can develop from infections, injuries, or other trauma. Men are more susceptible to urethral strictures since their urethras are longer. Common causes include sexually transmitted diseases, catheterization, or other instrumentation of the urethra. Symptoms include a slow or weak urine stream, pain while urinating, and blood in the urine. Diagnosis involves imaging tests of the urethra. Treatment options depend on the severity and location of the stricture, and may include gradual stretching through dilation, cutting the scar tissue, or surgical reconstruction of the urethra.

1. DEPARTMENT OF UROLOGY EDUCATION
Production Team
Dr Abraham Benjamin - Manager Medical Informatics
Mr. Naresh Kumar - Coordinator Medical Informatics
Urethral Stricture

2. What is 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.

3. Anatomy of the Male Reproductive
System

4. Who is at risk for Urethral Stricture?
 Urethral strictures are more common in men
because their urethras are longer than those in
women.
 Thus men's urethras are more susceptible to
disease or injury.
 A person is rarely born with urethral strictures
and women rarely develop urethral strictures.

5. What are the causes for Urethral
Stricture?
 Stricture disease may occur anywhere from the bladder to
the tip of the penis.
 The common causes of stricture are trauma to the urethra
and infections such as sexually transmitted diseases and
damage from instrumentation.
 Trauma such as straddle injuries, direct trauma to the penis
and catheterization can result in strictures of the anterior
part of the urethra.

6. What are the causes for Urethral
Stricture?
 In adults, urethral strictures from instrumentation trauma
may occur after prostate surgery and urinary catheterization.
 In children, urethral strictures most often follow
reconstructive surgery for congenital abnormalities of the
penis and urethra, cystoscopy and occasionally may be
congenital.

7. What are the symptoms of Urethral
Stricture ?
painful urination.
slow urine stream.
decreased urine output.
spraying of the urine stream.
blood in the urine.
abdominal pain.
urethral discharge.
urinary tract infections in men.
infertility in men.

8. How is Urethral Stricture Diagnosed ?
 Evaluation of patients with urethral stricture includes
a physical examination.
 Urethral imaging (X-rays or ultrasound).
 The retrograde urethrogram is an invaluable test to
evaluate and document the stricture and define the
stricture recurrence. Combined with antegrade
urethrogram, length of the stricture can be
determined.

9. How is Urethral Stricture Diagnosed ?
Normal Urethrogram Obstructive Urethrogram

10. How is Urethral Stricture Treated?
 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).

11. How is Urethral Stricture Treated?
 Cutting the stricture with a endoscopic equipment
(urethrotomy) and surgical repair of the stricture
with reconnection and reconstruction called
urethroplasty.
 Urethral Stents where a biocompatible hollow tube is
placed on the inside of the stricture to allow for free
passage of urine.

12. Important Information
 If you need more details about any Urology or
Andrology Problem meet our team of Urologists for
Consultation click on the link .
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14. More topics
 Circumcision
 Blood In Urine
 Benign Prostatic Hypertrophy
 Vasectomy
 Kidney and Urinary stone Medical Treatment
 Andrology-Male Infertility
 Urodynamics / Uroflowmetry.
 Intra Venous Pyelogram.
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