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A urethral stricture is a narrowing of the urethra, the tube connected to the bladder that allows urination. The narrowing reduces the flow of urine and makes it more difficult or even painful to empty the bladder. [1] Urethral stricture is caused by injury, instrumentation, infection, and certain non-infectious forms of urethritis. The ...
Most patients do well with this but occasionally, stricture of the repair recurs and the patients may require redo surgery. Surgery involves making an incision between the anus and scrotum (perineal incision) and dissecting out the bulbar urethra and locating the scar and membranoprostatic urethra. Dissecting the bulbar urethra destroys the ...
Complications can include urinary tract infections, bladder stones, and chronic kidney problems. [2] The cause is unclear. [1] Risk factors include a family history, obesity, type 2 diabetes, not enough exercise, and erectile dysfunction. [1] Medications like pseudoephedrine, anticholinergics, and calcium channel blockers may worsen symptoms. [2]
Erectile dysfunction can cause a “self-perpetuating cycle of anxiety and performance pressure,” says one expert. ... ED is a common problem that happens to men of all ages. The review states ...
Retrograde ejaculation occurs when semen which would be ejaculated via the urethra is redirected to the urinary bladder. Normally, the sphincter of the bladder contracts before ejaculation, inhibiting urination and preventing a reflux of semen into the bladder. The semen is forced to exit via the urethra, the path of least resistance.
Non-surgical approaches result in 10–50% complication rates including erectile dysfunction, permanent penile curvature, damage to the urethra and pain during sexual intercourse, while operatively treated patients experience an 11% complication rate. [4] [12] In some cases, retrograde urethrogram may be performed to rule out concurrent ...
A triple lumen catheter is inserted through the urethra to irrigate and drain the bladder after the surgical procedure is complete. The outcome is considered excellent for 80–90% of BPH patients. The procedure carries minimal risk for erectile dysfunction, moderate risk for bleeding, and a large risk for retrograde ejaculation. [2]
Trauma, iatrogenic injury and infections are the most common causes of urethral injury/defect requiring repair. Urethroplasty is regarded as the gold standard treatment for urethral strictures and offers better outcomes in terms of recurrence rates than dilatations and urethrotomies. It is probably the only useful modality of treatment for long ...
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