Urethral Stricture - Signs and Symptoms

Signs and Symptoms

During the early stages of the condition, the subject may experience pain during urination and the inability to fully empty the bladder. It is not uncommon for the bladder's capacity to significantly increase due to this inability to completely void.

Urethral strictures may cause problems with urination, including in certain cases the complete inability to urinate, which is a medical emergency. Additionally, a urinary tract infection is often present at, or prior to initial diagnosis. Antibiotics, quinolone class anti-infective agents, or a combination of trimethoprim/sulfamethoxazole are often employed as the initial stage of treatment. Occasionally, some degree of relief from straining, or improvement of the urinary stream (depending on the severity of the stricture) occurs with antibiotic treatment due to the reduction of urethral inflammation.

  • Obstructive voiding symptoms namely:
    • Decreased force of urinary stream
    • Incomplete emptying of the bladder
    • Urinary terminal dribbling
    • Urinary intermittency
    • Deflected urinary stream
  • Increased frequency of micturition
  • Acute or chronic retention of urine
  • Hydronephrotic signs due to back pressure

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