Urethral Stricture

Urethral stricture is a narrowing of the urethra that restricts urine flow, often caused by scarring or injury. This condition can lead to significant discomfort and urinary complications if left untreated. Here, we explore its causes, symptoms, diagnosis, and treatment options, with insights from Dr. Prabhat Ranjan, a renowned urologist specializing in urinary tract disorders.

Common Signs of Urethral Stricture

Symptoms of Urethral Stricture

Urethral stricture commonly presents with difficulty urinating, including a weak or slow urine stream and frequent urges to urinate. Patients may experience straining to start urination, a feeling of incomplete bladder emptying, or urinary retention in severe cases. Pain or burning sensations during urination are frequent, along with pelvic or lower abdominal discomfort.

Other signs include recurrent urinary tract infections (UTIs) due to stagnant urine, blood in urine (hematuria), or semen. Some individuals may notice dribbling after urination or an inability to urinate entirely. Prompt diagnosis and treatment are essential to prevent complications like bladder damage or kidney issues.

Diagnosis and Treatment Options

Dr. Ranjan emphasizes precise diagnostic methods, including:

Urine Flow Test: Measuring the speed and volume of urine flow.
Imaging Tests: Ultrasound or X-rays with contrast dye to locate and assess the stricture.
Cystoscopy: Direct visualization of the urethra using a flexible scope.

Treatment Options

Dilation or Urethrotomy: Minimally invasive procedures to widen or remove the stricture.
Urethroplasty: Surgical reconstruction for long-term relief in severe cases.
Catheterization: Temporary relief for acute urinary retention.
Antibiotics: To treat or prevent associated infections.

Dr. Ranjan provides personalized treatment plans tailored to each patient’s condition and lifestyle.

Prevention Strategies

Preventing urethral stricture involves reducing risk factors such as trauma or infections. Dr. Ranjan advises:

Safe Catheter Use: Avoiding unnecessary or prolonged catheterization.
Prompt Treatment of Infections: Managing UTIs and sexually transmitted infections quickly.
Minimizing Urethral Trauma: Preventing injuries during medical procedures or physical activities.