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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 ...
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 ...
[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.
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 ]
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.
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The most common cause of urinary retention is BPH. This disorder starts around age 50 and symptoms may appear after 10–15 years. BPH is a progressive disorder and narrows the neck of the bladder leading to urinary retention. By the age of 70, almost 10 percent of males have some degree of BPH and 33% have it by the eighth decade of life.
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