Online consultations with MCSC doctors n. a. A. S. Loginov

Urethral stricture

Urethral stricture is a pathological narrowing of the lumen of the urethra, which develops as a result of the scar-sclerotic process. 

Causes of urethral stricture:
Urethral stricture most often develops after gonococcal or non-gonococcal urethritis, trauma, and medical interventions (bladder catheterization, transurethral resection of the prostate). In approximately 15% of cases, the cause of urethral stricture cannot be determined. In addition, urethral stricture may be congenital. 

Clinical manifestations:
The main clinical manifestation of urethral stricture is difficult, sometimes painful urination, a feeling of incomplete emptying of the bladder, which significantly reduces the quality of life of the patient. If left untreated, the patient develops chronic urinary retention with impaired upper urinary tract function and renal failure.

Examination of patients with urethral stricture.
To assess the quality of urination of a patient with suspected urethral stricture, uroflowmetry, ultrasound examination of the prostate and bladder with a mandatory assessment of the amount of residual urine is performed. Urethral stricture can be diagnosed by studies such as urethroscopy and urethrography. Urethral ultrasonography and magnetic resonance imaging are used to accurately assess the extent of the stricture and the condition of the surrounding tissues. 

Methods of treatment of urethral strictures can be divided into endourethral and open surgical interventions.

Urologists of the Loginov Moscow Medical Research Center have a full range of modern operations. As a first-line therapy in patients with untreated urethral strictures ( In more complex cases, it is possible to perform anastomotic urethroplasty or augmentation urethroplasty with the use of a buccal flap. With strictures of the anterior urethra caused by lichensclerosis, it is possible to perform Blandy-Tresidder plastic surgery.

Do not delay your visit to the specialists of our center. This will help to diagnose the disease in a timely manner and choose the right treatment tactics. Doctors of the Department of Urology of the Moscow State Medical Center named after A. S. Loginov are always ready to help you. 

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