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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 ...
[1] [2] Patients observe these symptoms and seek medical advice from healthcare professionals. Because most people are not diagnostically trained or knowledgeable, they typically describe their symptoms in layman's terms, rather than using specific medical terminology. This list is not exhaustive.
Urethral sounds are designed to be inserted into the male or female urethra, for the purpose of stretching or unblocking a stricture. There are a number of different types of urethral sounds: Bakes sounds, also known as rosebud or bullet sounds, have a long thin metal rod with a bulbous bud on the end. Dittel sounds have a flat end and a ...
It is also sometimes called a stricture (as in urethral stricture). [ 3 ] Stricture as a term is usually used when narrowing is caused by contraction of smooth muscle (e.g. achalasia , prinzmetal angina ); stenosis is usually used when narrowing is caused by lesion that reduces the space of lumen (e.g. atherosclerosis ). [ 4 ]
For example, endoscopic submucosal dissection, which is a minimally invasive treatment for colorectal cancer, may rarely cause development of a rectal stricture. [2] Other surgical procedures which may cause the development of a stricture include ventral rectopexy , [ 8 ] Delorme’s procedure , [ 16 ] and hemorrhoidectomy .
Obstruction in the urethra, for example a stricture (usually caused either by injury or STD), a metastasis or a precipitated pseudogout crystal in the urine; Pseudodyssynergia; STD lesions (gonorrhoea causes numerous strictures, leading to a "rosary bead" appearance, whereas chlamydia usually causes a single stricture) Emasculation
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In order to open the stricture, a surgeon can insert a bougie – a weighted tube used to dilate the constricted areas in the esophagus. [3] It can sometimes be treated with other medications. For example, an H2 antagonist (e.g. ranitidine) or a proton-pump inhibitor (e.g. omeprazole) can treat underlying acid reflux disease.