Urethral Stricture

Question 1

What is urethral stricture?

Answer 1

A narrowing of the urethra that can cause urinary flow issues

Urethral stricture can lead to various urinary complications.

Question 2

What are common causes of urethral stricture?

Answer 2

• Idiopathic
• Iatrogenic (e.g., traumatic placement of indwelling urinary catheters)
• Sexually transmitted infections (e.g., gonorrhoea)
• Penile fractures (e.g., secondary to sexual trauma)
• Hypospadias
• Lichen sclerosus

Each cause may lead to different symptoms and complications.

Question 3

What is a symptom of urethral stricture?

Answer 3

Decreased urinary stream

This symptom is often the most noticeable indicator of urethral stricture.

Question 4

What are less common symptoms of urethral stricture?

Answer 4

• Incomplete bladder emptying
• Spraying of urinary stream
• Dysuria

These symptoms can vary in presentation and severity.

Question 5

What investigations are used to diagnose urethral stricture?

Answer 5

• Uroflowmetry
• Ultrasound postvoid residual (PVR) measurement

These tests help assess urinary flow and bladder emptying.

Question 6

What is one management option for urethral stricture?

Answer 6

Dilation

This procedure aims to widen the narrowed urethra.

Question 7

What is another management option for urethral stricture?

Answer 7

Endoscopic urethrotomy

This technique involves surgically cutting the stricture to allow for normal urine flow.