Urology Specialists of Ohio
Thank you for choosing the Urology Specialists of Ohio. Your care and well-being are our primary concerns, and we want your stay
to be as comfortable as possible. Please call us if you have any questions at (937) 342-9260
A urethral stricture is scarring in or around the urethra or a narrowing of the opening of the urethra, which can block the flow of urine. Urethral strictures are usually the result of inflammation, injury or infection.
Who’s At Risk?
Women rarely develop urethral strictures, which are more common in men, whose urethras are longer and more prone to injury and infection. Nearly half of all cases of urethral strictures are caused by inflammation or injury from repeated medical procedures such as catheters or surgery.
If you’re prone to developing infections of the urethra, such as urethritis or urinary tract infections, you’re more susceptible to developing urethral stricture.
Individuals with poor hygiene or who engage in risky sexual behaviors are also more likely to suffer from urethral strictures.
Symptoms of Urethral Stricture
Some cases of urethral stricture don’t exhibit any symptoms, while others can range from mild discomfort to complete urinary retention. Common symptoms of urethral stricture may include:
- painful urination
- urinary tract infection
- slow urine stream
- decreased urine output
- spraying or dribbling of the urine stream
- blood in the urine (“hematuria”)
- abdominal pain
- urethral discharge
- urinary incontinence
Thank you for choosing our group of doctors and staff for your Urology needs. In order for us to better serve you, below is a checklist of things to know and bring to your first appointment. If you do not have the paperwork filled out prior to your appointment, please arrive 15 minutes early to complete in the office. If you do not have the paperwork filled out prior to your appointment time then your appointment will be rescheduled to another date.
Urology Specialists of Ohio has been a committed part of the Springfield community for more that 10 years, and now serves Springfield, Beavercreek, London, Xenia, and Urbana striving to improve the medical community, with excellence in all areas of urology.
Our goals are to provide state of the art medical treatment for patients with genitourinary problems. We provide this in the most compassionate and cost effective way possible. We take pride in providing excellent care with attention to detail and respect in a friendly atmosphere.
Diagnosing Urethral Stricture
Diagnostic tests such as urinalysis (UA), urine culture and urethral culture for sexually transmitted diseases like gonorrhea, chlamydia can be ordered to determine if you have urethral strictures. Imaging and endoscopic studies are sometimes necessary to confirm the diagnosis and identify the cause of urethral strictures. Common imaging and endoscopic tests to evaluate urethral strictures include ultrasound of the urethra, retrograde urethrogram, anterograde cystourethrogram and cystourethroscopy.
Treating Urethral Stricture
Medication can help manage urethral strictures, but the only real treatment for curing severe cases is surgery. Many people with urethral strictures can function normally without intervention, but surgery is generally recommended if you suffer from the following circumstances:
- severe problems with urination and urinary retention
- kidney stones in the bladder
- recurrent urinary tract infections
- increasing amount of urine left in bladder after urination
- failure of medication to control your pain
A number of surgical procedures are available for treating urethral strictures. Depending on your specific case, your doctor will recommend the most appropriate procedure for you. Beaumont is one of the few health systems in Michigan who have fellowship-trained urologists who are experts in the repair of complex urethral strictures.
Urethral dilation is a commonly used technique for treating urethral strictures. It is typically performed under local or general anesthesia. Thin rods of increasing diameters are gently inserted into the urethra in order to open the urethral narrowing without causing further injury. This procedure may need to be repeated from time to time, as strictures recur. The shorter the stricture, the less likely it is to recur after a dilation procedure. Occasionally, patients are given instructions and dilation instruments (rods, lubricating gel, and anesthetic gel) to perform urethral dilation at home.
An urethrostomy is an endoscopic procedure typically performed under general anesthesia. A thin tube with a camera (endoscope) is inserted into the urethra to visualize the stricture. Then a tiny knife is passed through the endoscope to cut the stricture lengthwise and open the flow of urine. A Foley catheter is then inserted and kept in place for a few days while the urethral incision heals. The success rate of this procedure is about 25 percent, with shorter strictures generally responding better to this procedure.
Urethral Stent Placement
Urethral stent placement is another endoscopic procedure where a closed tube (stent) is passed through an endoscope to the area of the stricture. Once it reaches the proper location, the stent can be opened to form a tube to enable urine to flow.
Open Urethral Reconstruction
Open reconstruction can involve several surgical techniques that involve opening the urethra under general anesthesia to fix the stricture. In some surgeries, the area of scarring is cut out and the remaining urethra reconnected. In others, after the scar tissue is removed, a graft may be used to form a reconstructed urethra. These techniques, in general, have a good response rate, although they’re more invasive than other described procedures.
Preventing Urethral Stricture
Urethral strictures can be caused by STDs and bacterial infections, so practicing safe sex and proper hygiene can help prevent some cases. However, since most cases of urethral strictures are caused by injury, trauma or repeated medical procedures, they are difficult to avoid for high-risk patients.
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1164 E. Home Road
Springfield, Ohio 45503