Understanding Urethral Stricture

At Northwoods Urology, we understand that urological health is an important part of overall well-being. Sometimes, conditions arise that can affect the urinary tract, such as a urethral stricture. This blog post aims to provide you with a clear understanding of urethral stricture, its causes, symptoms, and treatment options.

What is a Urethral Stricture?

The urethra is the tube that carries urine from the bladder out of the body. A urethral stricture occurs when a section of the urethra narrows or becomes scarred, making it difficult for urine to pass through freely.

Causes of Urethral Stricture

Several factors can contribute to the development of a urethral stricture. Some common causes include:

• Injury or Trauma: Firstly, injuries to the pelvic area, such as those from a fall or a car accident, can damage the urethra and lead to scarring.
• Infection: Secondly, infections, particularly sexually transmitted infections (STIs) like gonorrhea or chlamydia, can cause inflammation and scarring in the urethra.
• Previous Procedures: Furthermore, prior urological procedures, such as catheterization or surgery, can sometimes lead to urethral stricture formation.
• Other Causes: In some cases, urethral strictures may result from other conditions, such as radiation therapy or congenital abnormalities.

Recognizing the Symptoms

A urethral stricture can cause a range of urinary symptoms, including:

• Weak Urine Stream: A narrowed urethra can result in a weak or slow urine stream.
• Straining to Urinate: You may need to strain to pass urine.
• Spraying of Urine: The urine stream may split or spray.
• Incomplete Emptying: You may feel like you haven’t fully emptied your bladder after urinating.
• Urinary Tract Infections (UTIs): Urethral strictures can increase the risk of UTIs.
• Pain or Discomfort: In some cases, you may experience pain or discomfort during urination.

Diagnosing and Treating Urethral Stricture

If you experience any of these symptoms, it’s important to see a urologist for evaluation. The diagnosis of a urethral stricture typically involves a physical exam, a review of your medical history, and imaging tests, such as a retrograde urethrogram or a cystoscopy.

Treatment for urethral stricture aims to widen the narrowed area and restore normal urine flow. Several treatment options are available, including:

• Dilation: Dilation involves gently stretching the narrowed area of the urethra using a series of gradually larger dilators. This procedure is often performed in the office under local anesthesia.
• Urethrotomy: A urethrotomy involves making a small incision in the stricture to widen the urethra. This procedure is typically performed under anesthesia.
• Urethral Stent Placement: In some cases, a small stent (a tube-like device) may be placed in the urethra to keep it open.
• Surgery: For more complex or recurrent urethral strictures, surgery may be necessary to remove the scarred tissue and reconstruct the urethra.

Dilation and Catheterization

Dilation is a common treatment for urethral stricture. During the procedure, your urologist will gently insert a series of dilators into the urethra, gradually increasing in size, to stretch the narrowed area.

In some cases, a catheter (a thin, flexible tube) may be left in place for a few days after dilation to allow the urethra to heal and reduce the risk of further scarring. This can help prevent the stricture from recurring and maintain a clear passage for urine flow.

Outcomes of Successful Treatment

With appropriate treatment, the outlook for urethral stricture is generally positive. Successful treatment can:

• Restore Normal Urine Flow: This improves your ability to empty your bladder completely and comfortably.
• Reduce Urinary Symptoms: Treatment can alleviate symptoms such as weak stream, straining, and pain.
• Prevent Complications: Treating urethral strictures can help prevent complications like UTIs and kidney problems.
• Improve Quality of Life: By restoring normal urinary function, treatment can significantly improve your overall quality of life.

Your Partner in Urological Health

We provide comprehensive care for a wide range of urological conditions, including urethral stricture. Our experienced urologists utilize the latest techniques and technologies to diagnose and treat urethral strictures effectively. We understand that dealing with a urological condition can be concerning, and we’re committed to providing compassionate and personalized care to help you achieve optimal urological health.

If you have any questions or concerns about urethral stricture or other urological issues, please don’t hesitate to contact us. We’re here to support you on your journey to better health.