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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:
- A history of sexually transmitted disease (STD)
- Any instrument inserted into the urethra (such as a catheter or cystoscope)
- Benign prostatic hyperplasia (BPH)
- Injury or trauma to the pelvic area
- Repeated episodes of urethritis
Strictures that are present at birth (congenital) are rare. Strictures in women are also rare.
Symptoms- Blood in the semen
- Bloody or dark urine
- Decreased urine output
- Difficulty urinating
- Discharge from the urethra
- Frequent or urgent urination
- Inability to urinate (urinary retention)
- Incontinence
- Painful urination (dysuria)
- Pain in the lower abdomen
- Pelvic pain
- Slow urine stream (may develop suddenly or gradually)
- Spraying of urine stream
- Swelling of the penis
A physical examination may show the following:
- Decreased urinary stream
- Discharge from the urethra
- Enlarged (distended) bladder
- Enlarged or tender lymph nodes in the groin (inguinal) area
- Enlarged or tender prostate
- Hardness (induration) on the under surface of the penis
- Redness or swelling of the penis
Sometimes the exam reveals no abnormalities.
Tests include the following:
- Cystoscopy
- Post-void residual (PVR) volume
- Retrograde urethrogram
- Tests for chlamydia and gonorrhea
- Urinalysis
- Urinary flow rate
- Urine culture
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.
What else can I help you with?
What is the procedure code for Dilation of urethral stricture by passage of sound or urethral dilator male initial?
53600
How is the ureteral stricture treated?
Initially under anaesthetic with urethral dilators.Then the patient is shown how to do these procedures themselves as stricture are recurring
What is the cpt code for steroid injection for urethral stricture using a cystourethroscope?
No
What is the cpt code for subsequent urethral stricture dilation male age 27?
The CPT code for subsequent urethral stricture dilation in a male patient is typically 53661. This code is specifically used for the dilation of a urethral stricture and is applicable regardless of the patient's age. Always consult the latest coding guidelines or a medical coding professional to ensure accuracy.
What is the cpt code for dilation of a urethral stricture of male due to syphilis?
52281
What is the cpt code for dilation of a urethral stricture of male due to syphilis icd-10-cm?
The CPT code for dilation of a urethral stricture is typically 53661, which specifically addresses urethral dilation procedures. For the ICD-10-CM diagnosis code related to a urethral stricture due to syphilis, you would use A53.9, which refers to syphilis, unspecified. Always ensure to verify the codes with the latest coding guidelines or consult a coding specialist for accuracy.
What is a narrowing of the urethra called?
Urethral stricturemedical term is urethrostenosis
What is urethral dilation?
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
What has the author Carl Cornil written?
Carl Cornil has written: 'Urethral obstruction in boys' -- subject(s): Abnormalities, Boys, Congenital, Genetic aspects, Health and hygiene, Obstruction, Urethra, Urethral Stricture, Urinary organs
What is hematospermosis?
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.
Abnormal narrowing of the tube carrying urine out of the body is?
Abnormal narrowing of the tube carrying urine out of the body is known as a urethral stricture. This condition can result from injury, infection, inflammation, or surgical procedures, leading to difficulties in urination and potential complications. Treatment options may include dilation, urethrotomy, or surgical reconstruction depending on the severity of the stricture.
What is the muscle that controls the urethra?
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.
