Urethral stenosis: characteristics, symptoms and diagnosis

Written by: Dr. Francisco Javier Machuca Santa-Cruz
Published: | Updated: 09/11/2018
Edited by: Top Doctors®

urology urethral stenosis Urethral stenosis is the narrowing of a segment thereof, accompanied by varying degrees of scar.


Causes of urethral stricture

Knowing the cause of stenosis is useful in determining the most appropriate treatment, as it can directly affect the outcome. The causes can be classified into:

- Iatrogenic: as a result of surgery, endoscopy, urethral catheterization, etc.. Usually the most common cause.

- Traumatic: either by blunt or penetrating trauma

- Inflammatory: lichen sclerosus and various urethritis - Idiopathic: unknown cause

- Congenital: less frequent.


Symptoms of urethral stricture

Patients suffering from this condition have the following symptoms:

- Painful or difficult urination

- Slow urine flow

- More willing to suffer a urinary tract infection

- Obstruction of the urinary tract with urinary retention


How is it diagnosed?

A complete medical history with proper physical examination and a radiological and endoscopic examinations are essential for a proper assessment. The most common diagnostic tests performed by experts in urology are:

Uretografía Urethrocystography: is an X-ray in which dye is inserted through the urethra. an anesthetic lubricant is used to avoid the inconvenience of probing and generally very well tolerated.

Flowmetry: alone is not useful for the diagnosis of urethral stricture, but other evidence accompanying the initial diagnosis of the disease, they can serve as a basis for follow-up monitoring.

Urethroscopy is the endoscopic assessment of the urethra. It can be done on an outpatient basis and does not usually cause great inconvenience.


Women and urethral stricture

They are not as frequent as in men, the symptoms are similar, and can be treated equally and with equally satisfactory results.

*Translated with Google translator. We apologize for any imperfection

By Dr. Francisco Javier Machuca Santa-Cruz

Renowned specialist in Urology, Dr. Machuca Santa-Cruz is Bachelor of Medicine and Surgery at the University of Malaga, a specialist in urology, internal-resident physician at the Hospital La Paz in Madrid since 1981. Between 2008 and 2014, has been Head of the Management Unit of Urology at the Hospital Virgen de la Victoria. He combines his clinical work with training for professionals and students in the field of urethral surgery and the use of laparoscopy. In addition, he is an honorary professor of the Faculty of Medicine and Professor of Malaga Masters in Pediatric Urology at the International University of Andalusia. Author and co-author of over 100 articles published and presented in scientific journals, book chapters, papers and presentations at conferences of national and international scope. His career premier has been recognized with various awards among which is accorded by the European Association of Urology through labor "Clinical Case Competition: urogenital sinus cyst" in 1987. Member of the main scientific associations urology.

*Translated with Google translator. We apologize for any imperfection

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