The Department of Renal Sciences at Vimhans Nayati Super Speciality Hospital is equipped with cutting-edge medical technology and a highly dedicated medical team to ensure the best urological care for their patients. The department offers a comprehensive treatment plan for Urethral Stricture which is a condition marked by the narrowing of the urethra. This constraint of the urethra causes trouble with the flow of urination resulting in pain and burning sensation. In extreme cases, the patient may be unable to urinate.
Symptoms of Urethral Stricture
Abnormalities in and during urination are the potential symptoms of urethral stricture. It is pertinent to seek immediate medical attention if the patient is unable to urinate, as this can give rise to many complications. The other possible symptoms of urethral stricture are:
- Abnormal urine flow
- Darker colour of the urine
- Decreased urine stream
- Inability to urinate
- Increased urge to urinate
- Pain in the pelvic area
- Pain or burning sensation during urination
- Penile swelling and pain
- Presence of blood in the semen or urine
- Reduction in the volume of urine
- Uncomfortable feeling after urination
- Urethral discharge
- Urinary tract infection
What are the causes of Urethral Stricture?
Urethral stricture is more common in males as compared to females, and in most cases, the underlying cause is unknown. The narrowing of the urethra can happen because of many reasons and some of these have been listed below:
- An enlarged prostate
- Benign prostatic hyperplasia
- Cancer of the urethra or prostate
- Catheter insertion
- Certain medical procedures involve inserting an instrument into the urethra
- Injury to the urethra
- Previous surgery for enlarged prostate gland
- Radiation therapy
- Scar tissue
- Sexually transmitted infections
- Straddle injury
- Trauma to the pelvis
- Urinary tract infections
Factors that can affect Urethral Stricture
Since men are more vulnerable to develop urethral stricture, certain medical conditions can increase the risk, namely:
- An enlarged prostate
- Previous history of STIs (sexually transmitted infections)
- Previous surgery involving catheter insertion
Diagnostic Procedures for Urethral Stricture
Here at Vimhans Nayati, the staff follows strict health protocols enabling diagnostic procedures with modern technology, resulting in precise testing and accurate diagnosis. For diagnosing urethral stricture, the information about the patient’s medical history and sexual history is very important, owing to the possibility of a previous surgery that could have narrowed the urethra. Other important diagnostic procedures for urethral stricture include:
- Physical examination
The doctor examines the penis area to check for any abnormality such as swelling or redness.
- Tests for STIs
The sexual medical history is a possible cause of urethral stricture, doctors perform tests for chlamydia and gonorrhea to analyse the possibility of any such underlying condition.
- Test for measuring the flow of urine.
- This is done to determine the extent of the blockage or obstruction.
A tiny camera attached with a small tube is inserted into the urethra to examine the inside of the bladder and the urethra.
Urethral Stricture Treatment
At Vimhans Nayati, the treatments are provided with expertise and are followed up with a carefully planned rehabilitation program. The urologists base the treatment plan on the health and age of the patient and the potential success of the treatment. Various urethral stricture treatment options available at Vimhans Nayati include:
- Catheterization - During the process, a catheter is inserted into the urinary bladder through which urine is drained out. In the case of short stricture, self-catheterization is recommended.
- Dilation - If the condition is recurrent, dilation is performed. A tiny wire is inserted into the bladder via the urethra to increase the size of the urethral opening, gradually.
- Urethroplasty. It is a surgical procedure that considerably mitigates the recurrence of urethral stricture. It involves either removing the narrowed section of the urethra or enhancing it. The surrounding tissues are treated alongside if they have been injured during the surgery.
- Endoscopic urethrotomy. It has various advantages including smooth rehabilitation, minimal scarring, and fewer risks of infection. Surgeons insert a cystoscope into the urethra, which facilitates the opening for inserting instruments to remove the stricture. However, with endoscopic urethrotomy, recurrence of stricture is not resolved.