Best Nursing Urethral Stricture Treatment At Home – Care24

A urethral stricture is a problem which involves scarring that shrinks the tube which carries urine out from the body. This stricture blocks the flow of urine from the bladder, it can cause a lot of medical issues like inflammation, infection or injury. This scarring can arise right from bladder to tip of the penis.

Care24 provides the best services of nursing care for urethral stricture treatment at home. Contact our experts to know more details on urethral stricture treatment at home.

Symptoms of urethral stricture range from asymptomatic (no symptoms at all), to mild discomfort, to complete urinary retention (inability to urinate).

Some of the possible complications and symptoms  of urethral stricture include the following:

1.) Spraying or double streaming urine
2.) Bloody or dark-appearing urine also known as hematuria
3.) Blood in the semen (hematospermia)
4.) Urinary incontinence (loss of bladder control)
5.) Pelvic pain
6.) Difficulty starting urine flow (hesitancy)
7.) Painful urination (dysuria)
8.) Urinary tract infection (UTI)
9.) Urinary retention10.) Incomplete emptying of the bladder
11.) Decreased urinary stream
12.) Dribbling of urine

13.) Discharge from the urethra
14.) Reduced ejaculation force
15.) Stones in bladder
16.) Straining to urinate

The following are usually the causes of scarring or narrowing of the urethra (urethral stricture):

Trauma from any injury or accidents which causes  damage to the urethra or bladder (for example, falling on a frame of a bicycle between the legs, or a car accident), straddle injuries

1. Pelvic injury, when there is a fracture of the pelvic bone or trauma
   
   
2. Previous procedures involving changes in the urethra (urinary catheters, surgeries, cystoscopy)
   
   
3. Previous prostate surgery such as TURP or transurethral resection of the prostate for prostate enlargement, radical prostatectomy for prostate cancer.
4. Prostate enlargement
   
   
5. Cancer of the urethra (rare)
   
   
6. Infections of the urethra such as sexually transmitted infections or STDs, urethritis, gonorrhoea, chlamydia)
   
   
7. Prostate infection or inflammation (prostatitis)
   
   
8. Previous hypospadias surgery of a congenital birth defect in which the opening of the urethra is on the underside of the penis instead of the tip.
9. Congenital malformations of the urethra, though it rarely can cause urethral stricture in children
   
   
10. Brachytherapy in which there is the placement of radiation seeds into the prostate for prostate cancer.
    
    
11. Irritation to the urethral meatus related to diaper opening at the tip of the penis)
    
    
12. Inflammatory conditions such as lichen sclerosis which was previously referred to as balanitis xerotica obliterans in males,  Reiter’s syndrome

Any inflammation of urethra can result in scarring, which then can lead to a stricture or a narrowing of the urethra. Any sort of trauma, Infection, tumours, iatrogenic urological interventions such as urethral instrumentation (catheter placement, cystoscopy), transurethral surgeries, treatment of prostate cancer, or any other cause of scarring may lead to urethral narrowing or stricture. Developmental causes of prostate enlargement can narrow the urethra or any sort of mechanical narrowing of the urethra without scar formation but is not a stricture.

Idiopathy is the most common cause of urethral stricture (41%, no cause identified) in developed countries, followed by iatrogenic (35%). Iatrogenic causes include strictures related to hypospadias (a congenital abnormality where the urethral meatus is located on the underside of the penis, anywhere from the perineum to just short of the head of the penis) and strictures from endoscopic procedures (for example, cystoscopy or transurethral prostatectomy). In developing countries, trauma (36%) is the most common cause of stricture.

The following are some common endoscopic and imaging  tests done to evaluate urethral stricture:

1. Ultrasound of the urethra
2. Retrograde urethrogram
3. Cystography, filling and voiding (VCUG)
4. Antegrade cystourethrogram
5. Cystourethroscopy
6. MRI and CT scan
   
   

Ultrasound of the urethra (ultrasound urethrography) is one of the radiologic methods in evaluating urethral stricture. This is a noninvasive method and usually does not require any special preparation.

Currently, doctors may use ultrasound of the urethra in addition to other studies, such as retrograde urethrogram (RUG) to define the structure before surgery.

Once a stricture has developed, it will not go away. The role of medications is limited in the management of primary urethral strictures.

Surgery is also one of the recommended treatments for individuals with symptomatic urethral strictures.

A doctor will suggest surgery in the following circumstances:

If the patient is encountering problems with urination, such as straining to urinate, weak stream, and urinary retention (inability to urinate)

Stones in the bladder

Recurrent urinary tract infections

If there is Increasing post-void residual (amount of urine left in the bladder after urination)

Failure of conservative measures to control symptoms (pain)

Care-24 doctors and urologists offer care for the people of different ages that suffer from urethral stricture. The doctors also provide urethral stricture home treatment options for the patients.

The urologists offer a comprehensive form to cure urethral stricture. One will be able to get options for urethral stricture care at home, urethral stricture home treatment options and much more.

• Why Care-24?

With you, when you need us the mostOur certified nursing staff provides hospital-like care, assistance & medical companionship to patients.

• On-roll & registered nursing staff (GNM/ B.Sc./ M.Sc.)
• Trained in Basic Life Support
• Customised training with high fidelity simulators
  
• ICU training of nurses in leading corporate hospitals
  
• Undergone mandatory 66+ practical clinical competency checks
  
• Follows international standards and protocols