How to Treat Urinary Strictures
If 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.