Are there different types of urethral stricture?

Strictures can be divided into two main types, anterior and posterior, which differ not only in their location, but also in their underlying pathogenesis.

What are the differential diagnosis of urethral stricture?

Urethral stricture should be considered in the differential diagnosis of patients who present with decreased urinary stream, incomplete emptying, dysuria, urinary tract infection (UTI), and rising post-void residual urine volume.

Who urethral stricture definition?

Overview. A urethral (u-REE-thrul) stricture involves scarring that narrows the tube that carries urine out of your body (urethra). A stricture restricts the flow of urine from the bladder and can cause a variety of medical problems in the urinary tract, including inflammation or infection.

What is a bulbar urethral stricture?

Bulbar (meaning “bulb shaped”) urethral stricture is an obstruction of urine flow through the urethra, which impedes the body’s ability to pass urine.

What is the most common cause of urethral stricture?

What causes urethral stricture? The most common causes appear to be chronic inflammation or injury. Scar tissue can gradually form from: An injury to your penis or scrotum or a straddle injury to the scrotum or perineum.

What is the best treatment for urethral stricture?

Treatment options at Mayo Clinic include:
  • Catheterization. Inserting a small tube (catheter) into your bladder to drain urine is the usual first step for treating urine blockage. …
  • Dilation. …
  • Urethroplasty. …
  • Endoscopic urethrotomy. …
  • Implanted stent or permanent catheter.

What is Rgu test?

A Retrograde Urethrogram (RGU) X-ray is a diagnostic test that is used to look at the urethra for detecting any structural abnormalities, which cannot be seen on a normal X-ray. The urethra is a narrow muscular tube that drains urine from the bladder.

What is Bulbomembranous urethral stricture?

Firstly, bulbous urethra is dissected by a perineal incision and corpus spongiosum is separated dorsally off the corpora cavernosa. Secondly, after dissection is extended as far as possible, bulbar urethra is transected at the site of the stricture.

What is bulbar urethroplasty?

Excision and primary anastomosis (EPA) urethroplasty

A short segment of the bulbar urethra (between the scrotum and the prostate) is excised and the cut ends of the urethra are sewn back together.

Can UTI cause urethral stricture?

When a stricture is narrow enough to decrease urine flow, you will have symptoms. Problems with urinating, UTIs, and swelling or infections of the prostate may occur. Severe blockage that lasts a long time can damage the kidneys.

Can ultrasound detect urethral stricture?

A cystoscopy procedure allows doctors to view the urethra to see if strictures are present. A doctor guides a narrow, flexible scope into the urethra and uses ultrasound to determine the location and length of strictures. This procedure is performed in the doctor’s office.

What STD causes urethral strictures?

The most common infections that cause stricture are sexually transmitted infections, such as gonorrhea and chlamydia.

What causes urine blockage in males?

In men, a blockage can be caused when the prostate gland gets so big that it presses on the urethra. This is the most common cause of chronic urinary retention in men. One cause in women is a bladder that sags. This is called cystocele.

How long is urethroplasty recovery?

This could be two weeks for simpler surgeries, to three weeks for more complicated surgeries.

Can homeopathy cure urethral stricture?

Two best homeopathic medicines for urethral stricture that help in the urine difficulty are Magnesia Muriatica and Chimaphila. These homeopathic medicines are highly recommended in cases where a person has to put a lot of strain and is still unable to empty the bladder completely.

Which food is good for urethral stricture?

Healthy Diet

Mung dal, rice, sugar candy, coconut water, dates, etc., helps the digestive system work properly and reduces irritation. Berries, coriander, cucumber, watermelon, plums, celery, etc., clear the bladder obstruction. Ayurved always supports high drinking of water for the normal flow of urine.

Is urethroplasty permanent cure?

Most of the time, it is a permanent cure. We perform a urethroplasty by removing the part of the urethra with the stricture and scar tissue. If it is a long stricture, we may also add new tissue, such as a graft from the mouth (a buccal mucosal graft) or a flap of skin to help reshape urethra.

Is urethroplasty major surgery?

With an average operating room time of between three and eight hours, urethroplasty is not considered a minor operation. Patients who undergo a shorter duration procedure may have the convenience of returning home that same day (between 20% and 30% in total of urethroplasty patients).

What is the success rate of urethroplasty?

Urethroplasty is considered the gold standard treatment for definitive correction of the disease reaching a success rate of 90%. Most of these strictures are short enough to make end-to-end urethral opposition.

Can urethral stricture come back after urethroplasty?

Urethral stricture is the narrowing of the urethra resulting in impedance to urine flow; Treatment options include dilatation, DVIU and urethroplasty; Recurrence rate is between 2%-40%.

What happens when urethroplasty fails?

Patients with urethroplasty failure typically have less healthy tissue to use for reconstruction and they may have denser, more extensive scarring. Surrounding tissue for flaps may have already been used and the penile blood supply may be altered.