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  • Writer's pictureDr G R Manjunath | Urologist

Understanding Urethral Stricture

Updated: Jun 25

An Insightful Guide by Dr. G R Manjunath, Renowned Urologist in Rajajinagar, Bengaluru


understanding-urethral-stricture

Urethral stricture, a condition characterized by the narrowing of the urethra, poses significant challenges in the urological community. Dr. G R Manjunath, one of the best urologists in Rajajinagar, offers an informative exploration into this common yet often misunderstood condition. This blog aims to educate and provide valuable insights into the causes, symptoms, and treatments of urethral stricture, enhancing awareness and encouraging early intervention.


What Exactly is Urethral Stricture?

Urethral stricture involves the narrowing of the urethra, which can obstruct the flow of urine from the bladder and lead to various complications. It occurs when inflammation leads to scarring, which then constricts the urethra. This condition is notably more prevalent in males than females.


Causes of Urethral Stricture

The causes of urethral stricture are diverse, ranging from physical trauma to infections. Dr. Manjunath points out several common factors that could lead to this condition:


Trauma: Significant injuries such as pelvic fractures or accidents that impact the urethra directly (e.g., bicycle accidents or falls) can cause strictures.

Medical Procedures: Long-term use of urinary catheters or surgeries that involve the urethra, including prostate surgeries like TURP (Transurethral Resection of the Prostate), can result in scarring.

Infections: STDs like gonorrhea and chlamydia or urinary tract infections can cause inflammation and subsequent narrowing of the urethra.

Previous Surgeries: Surgeries for conditions like hypospadias (a birth defect affecting the urethra) or any prior urological surgeries can also lead to stricture as a complication.

Congenital Issues: Although rare, some children are born with malformations of the urethra that may lead to stricture.


Symptoms to Watch For!

Dr. Manjunath emphasizes the importance of recognizing the early signs of urethral stricture, which include:

  • Decreased urine stream

  • Difficulty, pain, or burning during urination

  • Recurrent Urinary tract infections

  • Swelling or infections in the Testis

  • Increased urge or frequency to urinate


Identifying these symptoms early can significantly enhance the effectiveness of treatments.


Treatment Options Available

Treatment for urethral stricture depends on its severity and location. Dr. Manjunath discusses several therapeutic approaches:


Retrograde Urethrogram ( RGU) : Is done to diagnose this condition

Urethral Dilation: Stretching the urethra using special instruments to relieve the stricture.

Urethrotomy: Cutting the stricture with a laser or knife through a cystoscope to open up the narrowed area.

Urethroplasty: Surgically removing the affected section and reconstructing the urethra, which is often recommended for longer or recurrent strictures.

Advanced Techniques: Dr. Manjunath utilizes cutting-edge technologies, including laser therapies and minimally invasive surgeries, to treat complex cases, providing patients with significant relief and improved quality of life.


Take-Home Message

Dr. G R Manjunath, leading Urologist in Rajajinagar, advises anyone experiencing symptoms suggestive of a urethral stricture to seek prompt medical evaluation. Early diagnosis and treatment not only alleviate pain but also prevent complications such as urinary retention and kidney damage. His commitment to patient education and state-of-the-art treatment options reinforces his reputation as the best urologist in Rajajinagar.

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