Urethral stricture is an abnormal narrowing of the tube that carries urine out of the body from the bladder (urethra).
Causes, incidence, and risk factorsUrethral stricture may be caused by inflammation or scar tissue from surgery, disease, or injury. It may also be caused by pressure from an enlarging tumor near the urethra, although this is rare.
Other risks include:
Strictures that are present at birth (congenital) are rare. Strictures in women are also rare.
SymptomsA physical examination may show the following:
Sometimes the exam reveals no abnormalities.
Tests include the following:
The urethra may be widened (dilated) during cystoscopy by inserting a thin instrument to stretch the urethra while you are under local anesthesia. You may be able to treat your stricture by learning to dilate the urethra at home.
If urethral dilation is not possible, you may need surgery to correct the condition. Surgical options depend on the location and length of the stricture. If the stricture is short and not near the urinary sphincter, options include cutting the stricture via cystoscopy or inserting a dilating device.
An open urethroplasty may be done for longer strictures. This surgery removes the diseased part or replaces it with other tissue. The results vary depending on the size and location, the number of treatments you have had, and the surgeon's experience.
In cases of acute urinary retention, a suprapubic catheter may be placed as an emergency treatment. This allows the bladder to drain through the abdomen.
There are currently no drug treatments for this disease. If all else fails, a urinary diversion -- appendicovesicostomy (Mitrofanoff procedure) -- may be done. This allows you to perform self-catheterization of the bladder through the wall of the abdomen.
Expectations (prognosis)Treatment usually results in an excellent outcome. However, repeated therapies may be needed to remove the scar tissue.
ComplicationsUrethral stricture may totally block urine flow, causing acute urinary retention. This condition must be treated quickly.
Calling your health care providerCall your health care provider if symptoms of urethral stricture occur.
PreventionPracticing safer-sex behaviors may decrease the risk of getting sexually transmitted diseases and urethral stricture.
Treating urethral stricture quickly may prevent complications such as kidney or bladder infection or injury.
ReferencesJordan GH, Schlossberg SM. Surgery of the Penis and Urethra. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 33.
Frenkl T, Potts J. Sexually Transmitted Diseases. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 11.
Urethral stricture is an abnormal narrowing of the tube that carries urine out of the body from the bladder (urethra).
Causes, incidence, and risk factorsUrethral stricture may be caused by inflammation or scar tissue from surgery, disease, or injury. It may also be caused by pressure from an enlarging tumor near the urethra, although this is rare.
Other risks include:
Strictures that are present at birth (congenital) are rare. Strictures in women are also rare.
SymptomsA physical examination may show the following:
Sometimes the exam reveals no abnormalities.
Tests include the following:
The urethra may be widened (dilated) during cystoscopy by inserting a thin instrument to stretch the urethra while you are under local anesthesia. You may be able to treat your stricture by learning to dilate the urethra at home.
If urethral dilation is not successful or possible, you may need surgery to correct the condition. Surgical options depend on the location and length of the stricture. If the stricture is short and not near the urinary sphincter, options include cutting the stricture via cystoscopy or inserting a dilating device.
An open urethroplasty may be done for longer strictures. This surgery involves removal of the diseased part followed by reconstruction. The results vary depending on the size and location, the number of treatments you have had, and the surgeon's experience.
In cases of acute urinary retention, a suprapubic catheter may be placed as an emergency treatment. This allows the bladder to drain through the abdomen.
There are currently no drug treatments for this disease. If all else fails, a urinary diversion -- appendicovesicostomy (Mitrofanoff procedure) -- may be done. This allows you to perform self-catheterization of the bladder through the wall of the abdomen.
Expectations (prognosis)Treatment usually results in an excellent outcome. However, repeated therapies may be needed to remove the scar tissue.
ComplicationsUrethral stricture may totally block urine flow, causing acute urinary retention. This condition must be treated quickly.
Calling your health care providerCall your health care provider if symptoms of urethral stricture occur.
PreventionPracticing safer-sex behaviors may decrease the risk of getting sexually transmitted diseases and urethral stricture.
Treating urethral stricture quickly may prevent complications such as kidney or bladder infection or injury.
ReferencesJordan GH, Schlossberg SM. Surgery of the Penis and Urethra. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 33.
Brill JR. Diagnosis and treatment of urethritis in men. Am Fam Physician. 2010 Apr 1;81(7):873-8.
McCormack WM. Urethritis. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 106.
Reviewed ByReview Date: 09/03/2010
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
53600
Initially under anaesthetic with urethral dilators.Then the patient is shown how to do these procedures themselves as stricture are recurring
No
52281
Urethral stricturemedical term is urethrostenosis
Urethral dilatation is carried out for urethral stricture or narrowing of the urethra (water passage).It can be due to trauma but most commonly is due to fibrosis and scarring from infection from sexually transmitted disease STD
Carl Cornil has written: 'Urethral obstruction in boys' -- subject(s): Abnormalities, Boys, Congenital, Genetic aspects, Health and hygiene, Obstruction, Urethra, Urethral Stricture, Urinary organs
Hematospermosis is the presence of blood in semen. Though most often benign and idiopathic, it is sometimes the result of urethral stricture, infected prostate, or a congenital bleeding disorder.
The muscle called the urethral sphincter muscle is what constricts in the urethra. The urethral orifice is what is actually constricted by the urethral sphincter.
cpt code for urethral diverticulectomy
Disorders of the excretory system can be extremely dangerous due to the waste toxins retained in the body. Some of these diseases are Nephritis, Nephrosis, Kidney Stones, Vesicoureteral Reflux, Cystitis, Bladder Cancer, Urethritis, and Urethral Stricture.
procedure code for reversal of urethral anastomosis