Uretheral Stricture

Question 1

Features

Answer 1

• classified accorsing to site and aetiology - post-inflammatory
• graded according to length and degree of fibrosis
• any part of the urethra may be involved

Question 2

Aetiology

Answer 2

• trauma
  
  • pelvic fracture
  • falls astride
  • urinary tract instrumentation/surgery
• infection
  
  • neisseria and chlamydia
  • catheter associated UTI

Question 3

Clinical features

Answer 3

• history of urethritis, trauma, or irinary tract instrumentation
• LUTS
• haematuria
• UTI
• urinary retention, acute or chronic
• overflow incontince

Complications

• urinary tract calculi formaiton
• infection, including UTI
• renal failure secondary to chronic obstruciton

Question 4

Investifations

Answer 4

• urinalysis
• u and e
• uroflowmetry and measurement of post-vod residual bladder volume
• voidising cystourethrogram with or without retrograde urethrogram
• endoscopy
• US
• MRI

Question 5

Treatment

Answer 5

Inital

• treat infection before surgical treatment
• for acute retention or severe, temproary suprapubic catheterization

Definitive

• internal urethrotomy
• urethroplasty