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Articles, Publications &  Research Urethra Gauge™ Images Urinary Catheterization
Catheter Associated Urinary Tract Infections (C.A.U.T.I.) Urethra Gauge™ Instructions Urinary Catheters & WOCN Supplies
Catheter Sizes Urethra Gauge™ News Urinary Strictures
Foley Catheters Urethra Gauge™ Patent Documents (.pdf) Urinary System and How it Works
French Catheter Scale Urethra Gauge™ Patent Documents (.html) Urinary Tract Infections (U.T.I.)
Urethra Gauge™ FAQ's Urethra Sizes Wound, Ostomy, and Continence Nurse Resources

Urinary Stricture

Urethral stricture

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

Causes

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

Other risks include:

Strictures that are present at birth (congenital) are rare. Strictures in women are also rare.

Symptoms

Exams and Tests

A physical examination may show the following:

Sometimes the exam reveals no abnormalities.

Tests include the following:

Treatment

The urethra may be widened (dilated) during cystoscopy by inserting a thin instrument to stretch the urethra while you are under local anesthesia. You may be able to treat your stricture by learning to dilate the urethra at home.

If urethral dilation is not possible, you may need surgery to correct the condition. Surgical options depend on the location and length of the stricture. If the stricture is short and not near the urinary sphincter, options include cutting the stricture via cystoscopy or inserting a dilating device.

An open urethroplasty may be done for longer strictures. This surgery removes the diseased part or replaces it with other tissue. The results vary depending on the size and location, the number of treatments you have had, and the surgeon's experience.

In cases of acute urinary retention, a suprapubic catheter may be placed as an emergency treatment. This allows the bladder to drain through the abdomen.

There are currently no drug treatments for this disease. If all else fails, a urinary diversion -- appendicovesicostomy (Mitrofanoff procedure) -- may be done. This allows you to perform self-catheterization of the bladder through the wall of the abdomen.

Outlook (Prognosis)

Treatment usually results in an excellent outcome. However, repeated therapies may be needed to remove the scar tissue.

Possible Complications

Urethral stricture may totally block urine flow, causing acute urinary retention. This condition must be treated quickly.

When to Contact a Medical Professional

Call your health care provider if symptoms of urethral stricture occur.

Prevention

Practicing safer-sex behaviors may decrease the risk of getting sexually transmitted diseases and urethral stricture.

Treating urethral stricture quickly may prevent complications such as kidney or bladder infection or injury.

References

Jordan GH, Schlossberg SM. Surgery of the Penis and Urethra. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 33.

Frenkl T, Potts J. Sexually Transmitted Diseases. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 11.

Urethra Gauge™

ABSTRACT

A urethra gauge™ for measuring an inner size of a urinary tract. The gauge permits a clinician to measure the size of the urethral lumen (proximal to an outer orifice of the urethra) before a catheterization is performed. Selecting a properly-sized catheter for insertion into a patient by measuring the size of the urethral lumen before performing a catheterization is believed to reduce: (1) catheter-associated-urinary-tract infections; (2) urethral injuries due to inserting a catheter that is too large for the urethra; and/or (3) leakage associated with catheters that are too small for a particular patient.

A gauge for determining an internal size of a urethra, comprising: a rod having a distal-end point and a proximal-end point, the rod having an outer-peripheral surface with at least a portion having progressively increasing cross-sectional areas extending from the distal-end point to the proximal-end point; wherein the cross-sectional area of the outer-surface of the rod at the distal-end point corresponds to a first-potential size for the internal size of a urethra; wherein the cross-sectional area of the outer-surface of the rod at a proximal-end point corresponds to a second-potential size for the internal size of a urethra larger than the first-potential size; and wherein between the distal-end point and the proximal-end point, are an array of points located on the outer-peripheral surface of the rod with indicia which correspond to a plurality of potential sizes for the internal circumference of a urethra larger than the first-potential size, but less than the second-potential size.

www.UrethraGauge.com

HOME ABOUT US CONTACT US ORDERING PRODUCTS SITEMAP

Articles, Publications &  Research Urethra Gauge™ Images Urinary Catheterization
Catheter Associated Urinary Tract Infections (C.A.U.T.I.) Urethra Gauge™ Instructions Urinary Catheters & WOCN Supplies
Catheter Sizes Urethra Gauge™ News Urinary Strictures
Foley Catheters Urethra Gauge™ Patent Documents (.pdf) Urinary System and How it Works
French Catheter Scale Urethra Gauge™ Patent Documents (.html) Urinary Tract Infections (U.T.I.)
Urethra Gauge™ FAQ's Urethra Sizes Wound, Ostomy, and Continence Nurse Resources

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