Medical history (history of illness) is an important component in the diagnosis of urethral stricture (urethral narrowing). Family history Social history What is your occupation? Current medical history/systemic history (somatic and psychological complaints). What symptoms have you noticed? How long has the symptomatology been present? Do you have pain when urinating? How often do you … Urethral Stricture: Medical History
Genitourinary system (kidneys, urinary tract-genital organs) (N00-N99). Urethritis (urethritis).
The following are the most important diseases or complications that can be caused by urethral stricture (urethral narrowing): Genitourinary system (kidneys, urinary tract-genital organs) (N00-N99). Limitation of renal function due to urinary retention or high pressure reflux (high pressure reflux). Urinary tract infections Epididymitis (inflammation of the epididymis) Prostatitis (prostatitis) Symptoms and abnormal clinical and … Urethral Stricture: Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Inspection and palpation (palpation) of the genitals (penis and scrotum (scrotum); assessment of pubescence (pubic hair), penis (penis length: in flaccid state between 7-10 cm; … Urethral Stricture: Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Urine status (rapid test for: pH, leukocytes, nitrite, protein, blood), sediment, urine culture if necessary (pathogen detection and resistogram, i.e. testing of suitable antibiotics for sensitivity/resistance). Laboratory parameters 2nd order – depending on the results of the history, physical examination and the obligatory laboratory parameters … Urethral Stricture: Test and Diagnosis
Obligatory medical device diagnostics. Sonographic residual urine determination Renal sonography (ultrasound examination of the kidneys) including the draining urinary tract – exclusion of consecutive urinary retention. Uroflowmetry (urine flow measurement) – examination to measure the urine stream (volume per unit time) during micturition. Retrograde cystourethrography (imaging of the urinary bladder and urethra by retrograde contrast … Urethral Stricture: Diagnostic Tests
The following symptoms and complaints may indicate urethral stricture (urethral narrowing): Leading symptoms Irritative micturition symptoms (discomfort during urination) such as: Prolonged micturition time Increased micturition frequency Urinary urgency Residual urinary sensation Concomitant diseases Urinary tract infections Prostatitis (inflammation of the prostate) Epididymitis (inflammation of the epididymis)
Pathogenesis (development of disease) Urethral stricture is caused by scarring transformation of the urethra (urethra). According to the localization, urethral stricture can be classified as follows: Bulbar urethral stricture (between the sphincter and the beginning of the mobile penis; portion of the urethra fixed to the pelvic floor) – the most common form of urethral … Urethral Stricture: Causes
If the patient has urinary retention or a high amount of residual urine, the patient should be treated with a suprapubic bladder fistula. An existing urinary tract infection is treated appropriately. Endouroscopic therapeutic procedures: Bougienage (dilatation of the stricture) – has only a temporary effect (recurrence of the stricture after 4-6 weeks). Urethrotomia interna (internal … Urethral Stricture: Surgical Therapy
To prevent urethral stricture (urethral narrowing), attention must be paid to reducing individual risk factors. Behavioral risk factors Cycling (3 times more frequent than in non-cyclists).