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  • Uro Urethralstricture

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    Nina
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    This document discusses urethral stricture, a narrowing of the urethra. It describes the anatomy of the urethra and causes of stricture including congenital factors, trauma, inflammation, instrumentation, and surgery. Strictures are characterized by periurethral fibrosis and scarring that can extend to surrounding tissue. Clinical features include a poor urinary stream and urinary issues. Complications involve urine retention and damage to kidneys if untreated. Investigations include urine tests and imaging of the urethra. Treatment options are dilatation, urethrotomy, stents, and urethroplasty surgery for repairs.

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    uro-urethralstricture

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    This document discusses urethral stricture, a narrowing of the urethra. It describes the anatomy of the urethra and causes of stricture including congenital factors, trauma, inflammation, instrumentation, and surgery. Strictures are characterized by periurethral fibrosis and scarring that can extend to surrounding tissue. Clinical features include a poor urinary stream and urinary issues. Complications involve urine retention and damage to kidneys if untreated. Investigations include urine tests and imaging of the urethra. Treatment options are dilatation, urethrotomy, stents, and urethroplasty surgery for repairs.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    7 views19 pages

    Uro Urethralstricture

    Uploaded by

    Nina
    This document discusses urethral stricture, a narrowing of the urethra. It describes the anatomy of the urethra and causes of stricture including congenital factors, trauma, inflammation, instrumentation, and surgery. Strictures are characterized by periurethral fibrosis and scarring that can extend to surrounding tissue. Clinical features include a poor urinary stream and urinary issues. Complications involve urine retention and damage to kidneys if untreated. Investigations include urine tests and imaging of the urethra. Treatment options are dilatation, urethrotomy, stents, and urethroplasty surgery for repairs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 19

    Urethral Stricture

    Anatomy
    Posterior urethra
    • Prostatic urethra
    • Membranous urethra

    Anterior urethra
    • Bulbar urethra
    • Penile urethra
    Causes

    • Congenital
    • Traumatic
    • Inflammatory
    • Instrumental
    • Post operative
    Pathology:
    • Urethral lumen is narrowed due to
    periurethral fibrosis and scarring
    • Composed of dense collagen and
    fibroblasts
    • Fibrosis may extend into the surrounding
    spongiosum - spongiofibrosis
    Clinical features
    • Poor urinary stream
    • Straining to void
    • Dribbling of urine
    • Increased urinary frequency
    • Incomplete bladder emptying
    • Urinary retention
    Signs:
    • Induration of the area of stricture
    • Periurethral abscess - Tender
    swelling along the urethra
    • Urethrocutaneous fistula
    • Palpable bladder
    • Enlarged kidneys
    Complications
    • Retention of urine
    • Urethral diverticulum
    • Periurethral abscess
    • Urethral fistula – watering can perineum
    • Hydroureteronephrosis
    • Trabeculations , diverticula
    • Prostatitis
    • Calculus
    • Hernia , hemorrhoids , rectal prolapse
    Investigations
    • Urine microscopy
    • Urine C/S
    • Urosonology and PVR
    • Uroflowmetry ( < 10 ml /sec)
    • Urethrogram or voiding cystogram
    Treatment
    • Dilatation
    Metal dilators
    Gum elastic bougie
    • Urethrotomy – VIU
    Followed by self dilatation
    • Urethral stents
    • Urethroplasty
    < 2 cms – direct anastomosis
    > 2 cms –
    Full thickness skin graft
    Pedicled skin flaps
    Penile skin
    Scrotal skin
    Buccal mucosal flap
    Summary
    • Anatomy
    • Causes
    • Pathology
    • Clinical Features
    • Complications
    • Investigations
    • Treatment

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