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Urethral stricture

Strictura urethrae · Zúžení močové trubice (striktura)

What it is

A scarred narrowing of the urethra after injury, catheters, surgery or infection; far commoner in men.

Symptoms & signs

  • Weak, spraying or slow stream
  • straining
  • dribbling afterwards
  • urinary infections
  • unable to pass urine (emergency)

🚩 Get help if…

  • call 112 / 911 now Unable to pass urine with a painful, full bladder
  • see a doctor soon Fever with burning on passing urine
  • see a doctor soon Blood in the urine
  • see a doctor soon Stream getting weaker and weaker

Where it strikes

Medical treatment

  • Flow test, urethrogram and cystoscopy
  • dilation or urethrotomy (often recurs)
  • urethroplasty (the lasting repair)
  • suprapubic catheter in retention
  • drug-coated balloon (Optilume) — FDA-approved 2021 for recurrent anterior strictures

Natural & lifestyle

  • Prompt treatment of STIs
  • careful catheter use

Emerging & experimental

  • Tissue-engineered grafts

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Herbal diuretics — they cannot widen a scar anecdotal / traditional
  • Saw palmetto — for the prostate, not a stricture anecdotal / traditional
  • Pelvic-floor relaxation — may ease voiding; untested for strictures early / small studies

ICD codes