Urethral Stricture
 
As per old saying “once a stricture always a stricture” in present era there are different modalities for Stricture Urethra are practiced such as Dilatation, Urethroplasty, Stent etc. but with all these modalities there is high rate of recurrence is known thus proving the old saying.

But with Uttarbasti therapy there is complete resolution of Stricture with very less chance of recurrence is noted. Many cases have been treated with this therapy. The uttarbasati is OPD procedure with no need of admission or anesthesia.

Urethral stricture is an abnormal narrowing of the urethra (the tube that releases urine from the body).

Causes, Incidence, and Risk Factors

Urethral stricture may be caused by inflammation or scar tissue from surgery, disease, or injury. It may also be caused by external pressure from an enlarging tumor near the urethra, although this is rare.

Increased risk is associated with men who have a history of sexually transmitted disease (STD), repeated episodes of urethritis, or benign prostatic hyperplasia (BPH). There is also increased risk of urethral stricture after an injury or trauma to the pelvic region. Any instrument inserted into the urethra (such as a catheter or cystoscope) increases the chance of developing urethral strictures.

Congenital (present at birth) pediatric strictures are rare, as are true strictures in women.

Symptoms

Dysuria (painful urination)
Difficulty urinating
Slow urine stream (may develop suddenly or gradually)
Spraying of urine stream
Decreased urine output
Increased urinary frequency or urgency
Incontinence
Blood in the semen
Pelvic pain
Lower abdominal pain
Bloody or dark urine
Discharge from the urethra
Swelling of the penis
Urinary retention

A physical examination may reveal the following:

Decreased urinary stream
Enlarged or tender lymph nodes in the inguinal (groin) areas
Redness or swelling of the penis
Urethral discharge
Enlarged or tender prostate
Distended bladder
Hardness (induration) on the under surface of the penis
Sometimes the exam reveals no abnormalities.

Tests include the following:

Urinary flow rate may be measured
Post-void residual (PVR) measurement
Urinalysis
Urine culture (if evidence of infection)
Tests for chlamydia and gonorrhea
Cystoscopy to confirm diagnosis
A retrograde urethrogram to confirm diagnosis

Treatment :

Uttarbasti is the choice of treatment in ayurveda.
Uttarbasti is per urethral administration of drugs under aseptic precautions.

Advantages of Uttarbasti:

· THE MOST IMPORTANT IT PREVENTS RECURRENCE OF STRICTURE
· IT IS SAFE OPD BASED TREATMENT,
· NO NEED OF ADMISSION,ANAESTHESIA,
· PATIENT CAN DO HIS DAILY ACTIVITIES
· IT IS VERY ECONOMICAL


Complications of stricture: Urethral stricture may totally block urine flow, causing acute urinary retention, a condition that must be alleviated quickly.

Prevention: Practicing safer-sex behaviors may decrease the risk of contracting sexually transmitted diseases and subsequent urethral stricture.

Early treatment of urethral stricture may prevent complications such as kidney or bladder infection or injury.

 
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