Urethral stricture

• Injuries to the urethra from catheters or surgical procedures
• Chronic urinary tract infections or sexually transmitted diseases
• Trauma in the pelvic area
• Repeated inflammations of the urethra (urethritis)

• Weak or interrupted urine stream
• Difficulty urinating
• Pain during urination
• Sensation of incomplete bladder emptying
• Frequent urinary tract infections

The diagnosis of a urethral stricture is made through a combination of medical history, physical examination, and diagnostic tests. Uroflowmetry, a urine flow measurement, is used to assess the strength of the urine stream. In some cases, a cystoscopy is performed to examine the urethra and bladder. A retrograde urethrography with contrast medium helps determine the exact location of the narrowing.

• Dilation: Mechanical widening of the urethra, used in mild cases, but may require repeated procedures
• Endoscopic Urethrotomy: A surgical procedure to cut or remove the narrowed area of the urethra
• Reconstructive Surgery: In severe cases, extensive reconstructive surgery may be necessary to permanently resolve the narrowed area

To reduce the risk of a urethral stricture, it is important to exercise caution during medical procedures such as catheterizations. Early and appropriate treatment of urinary tract infections can also help minimize the risk of a stricture.