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    K11-Urethral Stricture Disease

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    agnes
    Urethral stricture disease is defined as fibrotic narrowing of the urethral lumen that obstructs the flow of urine. It is caused by inflammation or trauma from sources like catheterization, infections, straddle injuries or other conditions. Common symptoms include a slow urinary stream, incomplete emptying of the bladder, and recurrent infections upstream. Diagnosis involves urethroscopy and retrograde urethrogram. Treatment depends on the location and severity of the stricture but may include dilation, incision or resection of fibrotic tissue.

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    K11-Urethral Stricture Disease

    Uploaded by

    agnes
    86 views14 pages
    Urethral stricture disease is defined as fibrotic narrowing of the urethral lumen that obstructs the flow of urine. It is caused by inflammation or trauma from sources like catheterization, infections, straddle injuries or other conditions. Common symptoms include a slow urinary stream, incomplete emptying of the bladder, and recurrent infections upstream. Diagnosis involves urethroscopy and retrograde urethrogram. Treatment depends on the location and severity of the stricture but may include dilation, incision or resection of fibrotic tissue.

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    Slide Kuliah

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    k11-Urethral Stricture Disease

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    Urethral stricture disease is defined as fibrotic narrowing of the urethral lumen that obstructs the flow of urine. It is caused by inflammation or trauma from sources like catheterization, infections, straddle injuries or other conditions. Common symptoms include a slow urinary stream, incomplete emptying of the bladder, and recurrent infections upstream. Diagnosis involves urethroscopy and retrograde urethrogram. Treatment depends on the location and severity of the stricture but may include dilation, incision or resection of fibrotic tissue.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    86 views14 pages

    K11-Urethral Stricture Disease

    Uploaded by

    agnes
    Urethral stricture disease is defined as fibrotic narrowing of the urethral lumen that obstructs the flow of urine. It is caused by inflammation or trauma from sources like catheterization, infections, straddle injuries or other conditions. Common symptoms include a slow urinary stream, incomplete emptying of the bladder, and recurrent infections upstream. Diagnosis involves urethroscopy and retrograde urethrogram. Treatment depends on the location and severity of the stricture but may include dilation, incision or resection of fibrotic tissue.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 14

    URETHRAL STRICTURE DISEASE

    Urology Division, Surgery Department


    Medical Faculty,
    University of Sumatera Utara
    DEFINITION

    Fibrotic tissue that renders normally


    compliant urethral lumen inelastic
    Narrowing of the urethral lumen & slowing of
    urine through it
    Result of inflammation or trauma of
    iatrogenic or external sources
    A-B : Epitelial striktur C-F : Spongyfibrosis
    Urethral Trauma
    Prostatic

    Membranous

    According to location
    Bulbous
    Anterior urethra:
    bulbous & pendulous
    Posterior urethra:
    membrano - prostatic
    Pendulous
    ETIOLOGY
    Trauma
    1. Anterior urethra
    - straddle injuries
    - penetrating injuries
    2. Posterior urethra
    Iatrogenic
    - traumatic catheterization, instrumentation
    Infection
    - gonococcal urethritis, other STD
    Clinical presentation
    Obstruction
    - classic history :
    slowing urinary stream
    decreased caliber of the stream
    increased in voiding time
    incomplete bladder emptying
    post-void dribble
    - meatal stricture splitting of the urinary stream

    Secondary complication :
    - infection
    obstruction upstream infection (prostatitis or
    epididymoorchitis
    Diagnosis

    Urethroscopy
    Retrograde urethrogram and voiding
    cystourethrogram
    Associated condition

    Urethral carcinoma
    Periurethral abscess proximal to distal
    obstruction from the urethral stricture
    Urethral diverticulum can form proximal to
    the distal obstruction and can cause post-void
    dribbling or infection
    Algorithm for diagnosis and management of
    urethral strictures

    Sign and symptoms of stricture

    In office flow rate and curve,


    Post-void residual
    Diagnostic urethroscopy

    Obliterative stricture Urethral stricture Meatal stenosis Bladder neck contracture

    Suprapubic tube Meatal dilation Bladder neck dilation


    failure?
    Bladder neck contracture

    Occur as a result of prostatic surgery


    Very difficult to treat, recurrence rate is high
    Initial treatment : bladder neck dilation
    incisions resection of the vesical neck
    Specific condition causing urethral
    stricture

    Balanitis xerotica obliterans (BXO) genital


    lichen sclerosis in the male
    Fossa navicularis stricture always caused
    by iatrogenic trauma from instrumentation
    Hypospadias cripple prior failed
    hypospadia repair
    wr08

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