#Urethral stricture

[myhealthhospital]

Understanding Urethral Stricture: Causes, Symptoms, and Treatment

Urethral Stricture: Causes, Symptoms, and Treatment

Urethral stricture is a narrowing of the urethra, the tube that carries urine from the bladder out of the body. This condition can lead to various urinary problems and discomfort. Understanding the causes, symptoms, and treatment options for urethral stricture is essential for proper management.

Causes of Urethral Stricture

Urethral stricture can be caused by several factors, including:

Trauma: Trauma to the urethra, such as from a pelvic fracture or a straddle injury, can lead to the formation of scar tissue, which can narrow the urethra.

Infection: Infections, such as sexually transmitted infections (STIs) like gonorrhea or chlamydia, can cause inflammation and scarring of the urethra, leading to stricture formation.

Inflammation: Chronic inflammation of the urethra, often due to conditions like urethritis or balanitis, can result in the narrowing of the urethra over time.

Medical Procedures: Certain medical procedures, such as catheterization or surgery involving the urethra, can increase the risk of developing a urethral stricture.

Congenital Factors: Some individuals may be born with a narrow urethra, predisposing them to developing strictures later in life.

Symptoms of Urethral Stricture

The symptoms of urethral stricture can vary depending on the severity of the narrowing. Common symptoms include:

Difficulty Urinating: Narrowing of the urethra can make it difficult to start urination or maintain a steady stream.

Urinary Retention: In severe cases, urethral stricture can lead to the inability to urinate, which requires immediate medical attention.

Urinary Tract Infections (UTIs): Narrowing of the urethra can increase the risk of UTIs due to incomplete bladder emptying.

Urinary Frequency and Urgency: Strictures can cause the bladder to contract more frequently, leading to a constant urge to urinate.

Spraying or Dribbling of Urine: The narrowing of the urethra can cause the urine stream to spray or dribble instead of flowing in a steady stream.

Pain or Discomfort: Some individuals may experience pain or discomfort during urination, ejaculation, or while passing urine.

Treatment Options for Urethral Stricture

Treatment for urethral stricture depends on the severity of the condition and may include:

Dilation: This involves stretching the narrowed portion of the urethra using a series of dilators of increasing size. It is a common treatment option for less severe strictures.

Urethrotomy: This procedure involves using a special instrument to cut the stricture, widening the urethra. It is often used for short strictures.

Urethroplasty: In more severe cases, surgery may be required to remove the narrowed portion of the urethra and reconstruct it using tissue from other parts of the body.

Medication: In some cases, medications may be prescribed to help reduce inflammation and prevent further scarring of the urethra.

Self-Catheterization: Some individuals may need to perform self-catheterization regularly to help keep the urethra open and maintain urine flow.

Conclusion

Urethral stricture is a condition that can cause significant urinary problems and discomfort. Understanding the causes, symptoms, and treatment options for urethral stricture is crucial for effectively managing the condition. If you experience symptoms of urethral stricture, it is important to consult with a healthcare professional for proper evaluation and treatment.

[urosaketnarnoli]

Explore the intricacies of urethral stricture, a condition involving the narrowing of the urethra. Learn about its causes, which include inflammation and trauma, and recognize symptoms like difficulty urinating. Discover various treatment options, from urethral dilation to surgical procedures, ensuring informed decisions for optimal urological health. Trust in comprehensive insights to guide you through understanding and managing urethral stricture effectively.

[hypospadiasclinics]

Hidden Complications of Hypospadias Surgery: Urethral Stricture

An 8-year-old boy with a history of 3 prior operations for hypospadias elsewhere was brought to be with recurrent urinary tract infections. His Ultrasound (USG) examination revealed that he had swelling in both kidneys (hydronephrosis) with a thick urinary bladder which did not empty when he passed urine (over 50% of urine remained in the bladder)!  The parents of the child said that the child’s urination was ok; however, when someone tried to place a urinary tube (catheter) for doing an MCUG test, the tube simply did not go through his neourethra (the urinary tube which was reconstructed at the time of previous hypospadias operations). He was then referred to me. We put him under sedation and on careful examination, realized that the neourethra was very narrow (called stricture or stenosis). This was responsible for all his symptoms, infections and problems. We discussed the situation with his parents and opened up his narrow urethral tube till we reached his natural, normal, original urinary tube at the base of his penis. We re-created his natural opening, and all his symptoms disappeared. His kidney swelling reduced, his bladder was emptying normally now and he had no further infections. After 6 months, he underwent a 2-stage reoperation using an Oral Mucosal graft (OMG/ mucosa from inside the oral cavity). He is doing well henceforth.

This case underscores several important points:

Hypospadias repair can cause urethral strictures (narrowing of the reconstructed urethra)

The child may not complain of typical symptoms like difficulty in urination or thin stream, especially if the stricture develops gradually over a period of time.

The most important cause of stricture after hypospadias repair is the poor surgical technique of not creating a good-sized neourethra at the time of the operation.

Other causes are that the skin tube used to create the neourethra may not expend

Some of the recent techniques create a ‘narrow’ neourethra which causes problems with urination which develops gradually over a period of time

It is important to follow the children after hypospadias repair for many years because some complications like stricture may develop gradually and may not cause many symptoms during the initial period.

Urethral Stricture after hypospadias repair can be a very serious and sometimes dangerous complication. I have personally seen some children coming to me with kidney damage after hypospadias repair elsewhere, because of urethral stricture.

Now the question arises: How can we avoid urethral stricture after hypospadias repair? The answer to this question is to create a good size (adequate caliber for the child’s age) neourethra (urinary tube) during the surgery. This requires that the surgeon should have expertise in many techniques of hypospadias repair, including some complex techniques that involve the creation of vascularized skin flaps from the penile skin to create a good caliber neourethra. Many surgeons may find these techniques difficult to perform and may resort to easy techniques of repair; such easy techniques, some of which are popular, may involve the creation of small size neourethra, thus resulting in urethral stricture. Apart from this, delicate handling of the tissues, use of magnification and fine sutures may also play a role in better healing of the surgery. Thus, the most important factor in avoiding urethral stricture after hypospadias repair is the skill and expertise of the surgeon. In some cases, other factors like poor wound healing or infection might play a role.

Some surgeons routinely advise regular urethral dilatations after hypospadias repair, with the hope of periodically enlarging the urethra and preventing stricture. However, as I have discussed in my previous blogs also, there is no role of routine urethral dilatations after surgery to prevent urethral strictures. In fact, forcible dilatation of the narrow urethra might cause injury and make the stricture more severe. Thus, although such dilatations may cause temporary relief in a few cases, they are usually ineffective in a child with established urethral stricture. Thus, a good hypospadias surgeon would create an adequate size neourethra during the surgery, rather than rely on urethral dilatations after surgery. The hallmark of a good hypospadias surgeon is high success and low incidence of complications like urethral stricture. Parents have to search well for the expert surgeon before they plan their child’s hypospadias repair.

[regrowbiosciences]

Regrow Biosciences is India's leading institution that works with Cell Therapy. It believes in cutting-edge innovation and delivering regenerative medicine-based solutions for the finest human healthcare. Our treatment is a clinically new, meaningful and biological mode of therapy that offers the possibility of durably treating with lesser hospital stays and fuller recovery.

[larnax]

real meaningful problems to postop transmascs/transmascs seeking bottom surgery

bottom surgery too much money call that shit expensive

lack of education about bottom surgery to people who don't actively look for it so allies and enemies alike dont know shit about bottom surgery and people who would benefit from it dont even know what their options are

medical gatekeeping forcing people to jump through absurd hoops only to have coverage denied for anesthesia

good fucking luck finding a urologist who has any experience with post-op patients, idiot

difficult to find clinics outside of the USA and Thailand bc while they do exist most resources assume you either live in the US or have the resources to travel to Thailand

postop/seeking op people having the topic treated like its a very serious tragic discussion so we're not included in any conversations unless people are sharing articles about gender clinics being bombed or reminding trans people that bottom surgery sucks

postop people being seen as incapable of sex or having lost their transgender sex appeal so people feel pressured not to get bottom surgery lest they lose their boypussy which theyre acutely aware is seen by many people as the only reason you would fuck a transmasc person

again bottom surgery being seen as this worldending tragedy only the most selfhating transgendereds resort to is like The biggest problem for postop people and contributes to the isolation/alienation a lot of postop people feel. making jokes about bottom surgery and bringing it up in casual conversation is Good Actually and i wish more nonop people did it so i didnt feel like i only exist when its time for people to talk about how glad they are that they arent like me

transmisogyny in the transmasc community leading people to lash out at transfems for having "too much visibility" which prevents us from working together to strike back against the real enemy, healthcare providers forcing me to get updated mental health letters to prove im sound of mind for seeking phallo stage 2 as if im going to regret Just the tip

not real meaningful problems

random trans women making posts on their personal blogs about being trans women including posts about vaginoplasty

people making jokes about bottom surgery

postop people identifying with a variety of labels or having their identity change throughout the course of getting bottom surgery, yeah even people who end up not iding as trans anymore. not my business and not yours either

non-transmasc people seeking phallo/metoidio. aside from the extremely legitimate reasons intersex people who had surgeries performed on them without their consent/ppl with natal penises who have been in a Penis Accident would get it, or nonbinary people seeking it for the same reasons i am, who am i to judge if a cis woman wants to piss standing up. again why would i waste any energy on this when insurance companies exist

[drashishsaini1]

Understanding Urethral Stricture Symptoms: Signs, Causes & Relief

Urethral stricture symptoms can vary, but commonly include difficulty urinating, a weak urine flow, frequent urination, and a feeling of incomplete emptying of the bladder. Other signs may include pain or discomfort during urination, urinary infections, blood in the urine, or swelling in the lower abdomen. Early detection and prompt treatment are important.

[industryinsightsandanalysis]

Urethral Stricture Treatment Devices Market: An Overview

Theurethral stricture treatment devices market is a crucial segment within the broader urological devices industry. Urethral stricture, a condition characterized by the narrowing of the urethra due to inflammation, infection, or injury, can lead to significant morbidity. This condition affects both men and women, although it is more prevalent in men. The treatment for urethral stricture often involves the use of specialized medical devices designed to dilate, incise, or reconstruct the urethral passage.

Market Dynamics

1. Increasing Prevalence of Urethral Strictures: The rising incidence of urethral strictures, driven by factors such as aging populations, increasing cases of sexually transmitted infections (STIs), and trauma, is a significant driver of market growth.

   2. Advancements in Medical Technology: Innovations in urological devices, including minimally invasive techniques and the development of biocompatible materials, have improved treatment outcomes, thereby boosting market demand.

3. Awareness and Diagnosis: Enhanced awareness and improved diagnostic techniques for urethral stricture are leading to earlier detection and treatment, which in turn fuels the market for treatment devices.

For a comprehensive analysis of the market drivers, visit https://univdatos.com/report/urethral-stricture-treatment-devices-market/

Challenges

1. High Cost of Treatment: The cost of advanced urethral stricture treatment devices can be prohibitive, limiting their accessibility, particularly in low- and middle-income countries.

2. Complications and Recurrence: Post-treatment complications and the high recurrence rate of urethral strictures pose significant challenges to the market.

Opportunities

1. Emerging Markets: There is substantial growth potential in emerging economies where the prevalence of urological conditions is rising, and healthcare infrastructure is improving.

2. Telemedicine and Remote Diagnosis: The integration of telemedicine in urological care can enhance patient management and follow-up, potentially reducing recurrence rates and improving outcomes.

Key Segments

1. Urethral Dilators: These devices are commonly used to widen the narrowed segment of the urethra. They are often the first line of treatment.

 2. Endoscopic Devices: These include cystoscopes and resectoscopes used for visualizing and treating the stricture through minimally invasive procedures.

3. Stents and Implants: Used in more severe cases, these devices help maintain urethral patency over the long term.

End Users

1. Hospitals: Major healthcare facilities where complex urethral stricture treatments are performed.

 2. Ambulatory Surgical Centers (ASCs): These centers provide a setting for less complex procedures, contributing to market growth due to their convenience and lower cost structure.

3. Specialty Clinics: Urology clinics specializing in the treatment of urethral strictures play a significant role in the market.

Regional Analysis

1. North America: Dominates the market due to advanced healthcare infrastructure, high awareness, and the presence of major market players.

 2. Europe: Follows closely with significant investments in healthcare and a high prevalence of urological conditions.

3. Asia-Pacific: Expected to witness the fastest growth owing to increasing healthcare expenditure, improving healthcare infrastructure, and rising awareness about urological health.

4. Latin America and Middle East & Africa: These regions are gradually emerging as potential markets due to improving healthcare facilities and increasing focus on urological health.

For a sample report, visit https://univdatos.com/get-a-free-sample-form-php/?product_id=22347

Competitive Landscape

The urethral stricture treatment devices market is highly competitive with numerous players striving to enhance their market share. Key players are focusing on product innovation, strategic collaborations, and mergers and acquisitions to strengthen their position. Notable companies include:

Conclusion

The urethral stricture treatment devices market is poised for significant growth in the coming years. The increasing prevalence of urethral strictures, coupled with advancements in medical technology and improved healthcare infrastructure, is driving the market. However, addressing challenges such as high treatment costs and post-treatment complications will be crucial for sustained growth. As the market evolves, emerging regions and technological advancements will present new opportunities for stakeholders in this dynamic field.

Contact Us:

UnivDatos Market Insights

Email - contact@univdatos.com

Contact Number - +1 9782263411x

Website -www.univdatos.com

[d3nt4l-d4m4g3]

a story of one fake penis, 39 surgeries and counting.

This story I found through this post. don't click it unless you want to see frankendick. Frankly, the phalloplasty looks okay (only compared to most I've seen and I've seen too many. too... too many doing this work) besides the enormous scars and color mismatch. It's a low bar. But I was interested to see the user's progression.

That post, of surgery results the user admits took three years to achieve (""), is from two years ago. According to the user's more recent post history, it's been downhill from there.

11 months ago, the user's erectile implant began pushing through the skin, requiring surgery. Three months later, after the revision, the complication repeated. In this post from r/Everythingphallo 4 months ago, called "Is there anyone here who has had a phalloplasty reconstruction?"— the user states:

Initially, everything was perfect – it looked aesthetically pleasing, had great functionality, and the sensation was at 100%. However, over the past 3 years, I have had 15-20 surgeries due to complications and issues. The appearance is now completely deteriorated, and my functionality is greatly limited. The scars are contracting more and more, causing a loss of 4 cm in length, which wouldn't be so bad if it still looked good and functioned properly.

in the comments, the user clarifies a major reason for the many revision surgeries was problems with the constructed urethra. Multiple surgical revisions to the urethra caused stiffening, hardening, constricting scar tissue. A bacterial infection was additionally overlooked for "several years" which worsened the damage, and no doubt put the user at severe risk of bladder and kidney infection.

As indicated by the post's title, the user does not want to stop surgery, but instead wants to entirely reconstruct the phallus using the same technique, radial free flap phalloplasty, as performed the first time. This would mean she would have massive scars and limited mobility/strength in both of her arms and hands.

In this post from two months ago, things are somehow worse. (How..?!!)

user states:

 Recently, I lost all sensation (previously 100%), can no longer experience orgasms, and suffered a 50% reduction in length due to a parasite that damaged the tissue. Furthermore, I am scheduled for an emergency surgery because my ED has once again resulted in the skin breaking, marking the 5th or 6th time in a year. In general this is my 39 surgery and I’m so tired.

Parasite?!? Which apparently doctors missed for OVER TWO YEARS?? Jesus Christ, if she was playing medical bingo she'd have won years ago. But of course, she's lost everything.

All that the first phalloplasty got her was 39 surgeries, urethral strictures, loss of all sexual sensation, bacterial infections, parasites, she still wants another one.

Don't you dare say this is life-saving surgery in any capacity. It is life-ending, mentally, physically, figuratively, literally.

[tornprince]

Hey, so not to leap into your ask box as a total stranger, but you mentioned in the tags that you were willing to answer questions about phalloplasty. I’m still figuring out if I want it, and if it’s not an inconvenience, I’d like to hear about what it’s like, or any common misconceptions or things you’d be ok with sharing. You don’t have to answer it publicly if you don’t want to, or answer at all. No pressure!

Howdy, I’d be happy to! This turned out a lot longer than I thought it would so sorry for the little essay lol

Since there are a lot of little variations on phalloplasty both in the type you get and the “stages” I’ll explain that first.

I got RFF/forearm flap phalloplasty with urethral lengthening, clitoral burial and a full vaginectomy. My first surgery was a hysterectomy and partial vaginectomy, about 6 months after that I got the phallo itself, urethra lengthening and the rest of the vaginectomy, and then a couple weeks after that I got glansplasty. I’m scheduled to get the erectile and testicular implants later this month. All of this was covered by insurance.

I am overall extremely happy with my phallo, it’s really been everything I could have wanted. I’ll just give a kind of random run down of some things:

Healing: If you count the time for all of the above surgeries I took roughly 2 and a half months off work. 2 weeks for the hysto/vaginectomy, 6 weeks for the phallo and another 2 for the glansplasty. I’ll be taking a week off for the next one.

I spent 5 days in the hospital after the phallo, those were by far the roughest days. Like the first day after surgery the big thing they had me do was just sit up in bed, and even that made me feel very dizzy and sick.

By far the most painful parts of healing were the vaginectomy and the thigh graft. I had a catheter for 6 weeks which was a pain in the ass, and the forearm graft needs daily dressing changes for several weeks. Once you get past those first few days though, it’s kind of surprising how not terrible it is. I was walking my dog after like 3 weeks.

The part that has the highest complication rate is the urethral lengthening, I was told by my urologist that the percentage of urethral complications after surgery was somewhere between 60-70%, I was basically told to go into surgery kind of just expecting there would be some sort of urethral complication.

This did happen to me and I got a stricture (urethra healing tight enough you can’t pee through it) twice. The first time they fixed it while I was getting the glansplasty, the second time I had to go in for an extra minor surgery to fix it. Since then I have had no issues.

Here is what my urologist had to say about the urethral complications when I asked for details: in quite a few cases they just heal on their own with a little additional time using a catheter and they never need surgical intervention. He said if it ever became necessary, they could just “disconnect” the new urethra and have you go back to peeing the way you did before surgery.

He also stated that they had never had that happen and had always been able to get the new plumbing working, even if in some cases it took longer.

Sensation: I did not lose any clitoral sensation, it’s just buried in the base of the phallus so you have to kind of rub/squeeze harder to get there. I was able to orgasm as soon as I was cleared for sexual stimulation after surgery, which I believe was 2 months?

My surgeon said that although the degree of sexual sensation a person has after surgery can vary, they had never had anybody completely lose sensation or be unable to orgasm after surgery.

I won’t get too detailed on this public post but it has been less than a year since my phallo and I have enough sexual sensation on my penis to orgasm just from it being touched, the buried clitoris doesn’t have to be stimulated (though it does help!)

Visual: I don’t have too much to say here but I’ve often seen people say that phallo dicks “look weird” or whatever. Mine looks….like a normal penis. It has been seen by many people of all genders and sexualities and nobody has ever said anything was off about it.

Really there is enough natural variation in native penises that I don’t think you’d end up with anything that wouldn’t be possible on someone born with a penis.

Hope this was helpful! If you have follow up questions feel free to bug me

[ukftm]

Do you have any statistics/facts on the risks associated with non-VPP phalloplasty? I want it because of severe dysphoria, but I'm uncertain due to the risks I've heard of, I'd like to know all information available to me.

Hi Anon,

It’s important to realise that complications rates for all bottom surgeries are very high, with complication rates varying for the individual procedures involved.

For example, a study in 2022 on phalloplasty procedure complication rates found:

An overall complication rate in their participants was as high as 76.5%, of which urethral complications were highest (urethral fistula rate of 34.1% and urethral stricture rate of 25.4%).

Another study in 2018 for phallo complication rates found:

A urethral complication rate of 39%

RF Flap complication rate 11%

From feedback we receive from guys going through bottom surgery and our own experiences more recently, complication rates are reported at around 50%> with most being urethral/bladder complications.

While studies present differing complication rates, it is important to realise that it is better to go into each bottom surgery stage with the expectation that there will be some level of complication, some are more serious than others.

While most can be fixed during your next stage, some may need a surgery on their own, which adds extra stages to your journey. So something to also bare in mind is that a large majority of guys require more than the 3 stages they expect to have their bottom surgeries completed in. But during your consult with your surgeon you will discuss complications and what to expect.

While this is the reality of bottom surgery complication rates and some will decide it is not worth the risk for them, MANY report that despite having experienced complications along the way, the end result has been worth the risk for them.

Deciding whether to have bottom surgery is a serious decision and one that only you can decide whether you want to proceed. So we recommend discussing all concerns that you may have with your surgeon during your consultations. Also, talking to other trans guys who are currently going through surgery can be really helpful.

[dogsittering]

I don't regret this surgery process, but I do wish it wasn't taking so long. The anxiety of not knowing how long this will take and when it will be over has been so hard to live with.

I saw my urologist to talk about the urethral hookup. (Actually I saw a different urologist, who referred me back to my normal urologist, waisting weeks of my time). Before he'll even schedule the surgery, he told me to stop dilating the urethra for 6 weeks so they could measure it and make sure it's both wide enough and not narrowing. Which is in direct opposition to my plastic surgeon telling me to dilate so it stays open until the hookup.

Then my urologist said he doesn't even know if the hookup will work. There's about 9cm of urethra that needs to be built to connect the two ends. He offered to use as much surrounding skin as he could, but said he would still need an extensive buccal mucosa graft. He also said that the remaining clitoral nerves would need to be relocated, and there's a chance I'll lose all sensitivity to sexual arousal or that it will be significantly limited.

My other option would be to do a staged surgery, where he'll create a urethral plate that heals for 6 months before being tubularized (which is how he did my stricture repair, and I hated it). And then move the clitoral nerves to the side where they would sit as a sort of "pleasure button". So I wouldn't feel the arousal in the penis, but I wouldn't risk losing it altogether.

I just want this process done so I'm pushing for the riskier one stage surgery. And I could theoretically go to the other urologist because his wait time is shorter, but if anything goes wrong (which I know very well it could) that will only slow me down more and lead me back to my normal urologist to fix it.

I'm so tired of waiting, and driving hours each way for doctors appointments, and making phone calls, and answering questions, and scheduling my life around the likelihood of me having major surgery.

Please, whatever all-mighty power there may be, let this work out. I'm so tired. The waiting and the fighting are killing me.