This should allow the urethra to re-cover itself with more normal tissue. Making a single cut through the scarred stricture exposes the healthy epithelial tissue below. Using a cystoscope, the urologist feeds a small knife through a tube into the urethra and makes a deep cut through the stricture. Direct vision internal urethrotomy (DVIU) may work well for short strictures (less than about ¾ inch). But the time it takes for a stricture to form again varies, so this treatment may still be useful for some patients. If you've had stricture dilation before, another isn't likely to permanently fix the problem. Dilation is often only useful for very short strictures. Your urologist may place a urethral catheter into the urethra for 24 hours or longer afterwards to drain the bladder. Dilation may cause some discomfort, which may be worse with tighter, denser strictures. Your urologist may use a urethroscope to look into the urethra. The procedure is done using anesthetic jelly on the skin. The tube is taken out and slightly larger tubes are used until the opening is stretched to the right width. A tube slightly wider than the urethra is passed through its outlet into the bladder. Dilationĭilation is a way to stretch the narrow urethra back to its normal width. This is done either through stretching (dilation) or surgery. Urethral strictures are often treated by making the channel wider.
If these strictures are very dense or if they block the channel, a more detailed voiding study through a small cut above the pubic bone may be needed. When an x-ray is taken, the dye will show where and how long the scars are. A special dye is infused into the urethra through the tip of the penis. This is done with an x-ray test called urethrography. To treat urethral stricture disease, your urologist needs to know where the scars are. Urethral prolapse occurs most often in young girls, but may happen at any age. Sometimes it can keep your body from getting rid of urine. The urethra's membrane and the spongy tissue below poke out of the urethral outlet. It's much more bothersome than other benign lesions. Urethral prolapse is a rare problem of the female urethra. The main sign of this problem is a thin, reddish membrane sticking out from the urethral outlet. Urethral caruncles are more common in women who don't use hormone replacement therapy (HRT) after menopause. These are most often spotted during an exam for some other health problem. Urethral caruncles are polypoid ("stalk-like") masses hanging from part of the urethral outlet. A paraurethral cyst appears as a glistening, tense, and bulging yellowish-white mass that narrows the urethral outlet. Paraurethral cysts, also known as Skene's glands, are found in the wall of the vagina near the urethra in females. A type of x-ray test called a voiding cystourethrogram (VCUG) is also used. Urethral polyps are found with a cystoscope. It may also include some smooth muscle, small cysts, or nerve tissue, all covered with a thin protective layer of tissue.
This polyp is often made up of fibrous tissue. Urethral PolypsĪ urethral polyp is a rare, irregular growth that most often appears at birth. Your urologist mostly finds urethral strictures by testing a urine sample, using an x-ray test ( retrograde urethrography), and looking inside your body with a long, thin telescope with a light at the end (cystoscope). (This disease is described in the Urethral Stricture section on this website.) The symptoms of urethral stricture disease are: This can be caused by scar tissue forming in the urethra. Urethral Stricture DiseaseĪ urethral stricture is when part of the urethra narrows. Uncircumcised men with this problem can have trouble pulling back the penis foreskin. Other symptoms are soreness, itching, and cracking skin, sometimes with ulcerations and bleeding. The scar can make the urethra thinner (urethral stricture). This is thought to start in early childhood and progress through adulthood. This skin can turn into a scar over time. LS is marked by pale, shiny, whitish skin around the outlet of the urethra. Lichen sclerosis is a lasting skin problem of the penis end that doesn't have a known cause. Lichen Sclerosis (LS) or Balanitis Xerotica Obliterans (BXO)
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