Monthly Archives May 2016

How to Treat Urinary Strictures

Gulfshore Urology Urinary StricturesHow to Treat Urinary Strictures

Gulfshore Urology Urinary StricturesIf you recently had surgery or suffered a traumatic injury to the pelvic region, you may develop urinary strictures. This issue can cause several symptoms such as difficult or painful urination, UTI’s, blood in your urine or semen, reduced ejaculation force, and discharge. However, it can also be asymptomatic.

What are Urinary Strictures?

Stricture is a general term that describes the constriction of an organ. This can happen in various parts of the body, but with urinary strictures it specifically takes place in the urethra. It is mostly seen in male patients, as the issue is very rare in women, and is caused by the scarring or narrowing of the urethra.

This scarring or narrowing can be due to:

  • Trauma that causes damage to the urethra or bladder
  • Surgeries or procedures upon the urethra
  • Cancer of the urethra
  • An enlarged prostate
  • Prostate surgery
  • Infections of the urethra, such as sexually transmitted diseases (STD’s)
  • Congenital malformation

Symptoms of Urinary Strictures

As mentioned previously, urinary strictures can be both symptomatic and asymptomatic. However, if you find yourself experiencing the symptoms below, you will want to make an appointment with your urologist as soon as possible:

  • Difficult or painful urination
  • Urinary Tract Infection
  • Dribbling, spraying, or reduced stream in urine
  • Blood in your urine or semen
  • Pelvic pain
  • Discharge from the urethra
  • Reduced force behind ejaculation

How to Diagnose Urinary Strictures

In order to treat urinary strictures, you must first visit your urologist and undergo testing that will confirm the diagnosis. This may include examinations such as urinalysis, urine culture, and a urethral culture to test for STD’s, screening for prostate cancer, and/or imaging or endoscopic tests such as an ultrasound, retrograde urethrogram, anterograde cystourethrogram, or cystourethroscopy.

What is the Treatment for Urinary Strictures?

While patients may receive pain medication for symptom control, there is no medication that can cure urinary strictures. Surgery is currently the only treatment and it is given to those individuals who suffer from uncontrollable symptoms make it difficult to conduct day-to-day living.

The most common surgical procedures for this include urethral dilation, urethrostomy, urethral stent placement, or open urethral reconstruction. Your doctor will determine the best approach based on the cause, symptom, location, and severity of your case.

If You or a Loved One is Suffering from Urinary Strictures

If you think you or someone you care about is suffering from urinary strictures, we recommend that you call your urologist immediately to set an appointment. For patients in southwest Florida, Gulfshore Urology has locations in Marco Island, Naples, and Bonita Springs. To set an appointment, simply call 239-333-3200.

  Rolando R. Rivera   May 17, 2016   Urinary Incontinence, Urology   Comments Off on How to Treat Urinary Strictures   Read More

Causes for Common Urinary Symptoms

Gulfshore Urology Common Urinary SymptomsCauses for Common Urinary Symptoms

Gulfshore Urology Common Urinary SymptomsUrologists treat a wide variety of cases relating to the urinary tract and male reproductive system. However, there are certain issues that these doctors see quite frequently in their offices. The most common urinary symptoms include frequently feeling the need to use the bathroom, the inability to hold urine in, and leaking. If you are a patient dealing with these symptoms, take comfort in knowing millions have experienced problems just like yours. That’s why we’ve put together a list of a few common causes for these urinary symptoms:

Urinary Urgency

Urinary urgency is when a person experiences the sudden and urgent need to urinate. This need is caused by contractions of the bladder muscles that occur involuntarily. It is most often caused by Urinary Tract Infections, or UTI’s, though certain diuretics can also cause this symptom to occur.

Urinary urgency is often confused for urinary frequency, as the two often occur alongside each other. However, these two symptoms are different. Urinary frequency is the need to pee frequently (see “Overactive Bladder”).

Stress Incontinence

Despite its name, stress incontinence had nothing to do with emotional duress. Instead, it defines when an individual experiences an involuntary leak in urine caused by pressure placed on the bladder. This can happen a number of ways, such as laughing, sneezing, coughing, lifting heavy objects, running, standing up, or having sexual intercourse.

Stress incontinence may not occur every time you partake in one of these activities, but if you find it happening frequently enough that it impacts your daily activity, then it is time to see a doctor.

Nocturia

Those who are experiencing nocturia find themselves waking up multiple times during the night with the need to urinate. It occurs more often in older patients, but there are other causes including high fluid intake during the day or before bed, diabetes, your body having a higher urine production at night, or even simply poor sleep.

Overactive Bladder

An overactive bladder is defined by sudden, involuntary contractions of the bladder that cause urinary frequency, or the need to urinate, even when only a small amount of urine is present. Irritating fluids can cause these symptoms, including coffee, tea, other caffeinated beverages, spicy foods, and alcohol, as well as UTI’s. In some cases, overactive bladder can overlap with other forms of incontinence, resulting in mixed incontinence.

Treatment and Prevention

There are several ways to treat these common urinary symptoms, depending on the cause. If you find yourself experiencing the above causes or symptoms, it is recommended that you try the following:

  • Kegel Exercises 
    These exercises help strengthen the muscles surrounding the bladder, giving you more control over the flow of urine.
  • Log Your Bladder Activity
    Keeping a log of our bathroom habits can help you and your doctor identify any patterns in your symptoms.
  • Train Your Bladder
    The human body is good at picking up habits. Putting yourself on a fixed bathroom schedule can help train your bladder to relieve itself at certain times you deem convenient or appropriate.
  • Regulate Your Fluid Intake
    Limiting your fluid intake to occur prior to four hours before bedtime and avoiding diuretics such as coffee, tea, and alcohol can help prevent you from waking up at night with the need to urinate.

Should these practices not work, it is recommended that you make an appointment with your local urologist.

  Rolando R. Rivera   May 09, 2016   Urinary Incontinence, Urology   Comments Off on Causes for Common Urinary Symptoms   Read More