Urethral Strictures in Males Clinical Presentation

Updated: Aug 05, 2022
  • Author: Wesley R Baas, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Presentation

History

The most common presentation includes obstructive voiding symptoms, urinary retention, or urinary tract infections. Obstructive voiding symptoms are characterized by a decreased force of stream, incomplete emptying of the bladder, urinary terminal dribbling (post-void dribbling), straining to void, and urinary intermittency. These symptoms are progressive in many patients.

 

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Physical Examination

Physical examination in patients with urethral stricture is often normal unless they have involvement of the urethral meatus. This is most commonly seen in men with lichen sclerosus/balanitis xerotica obliterans, in which scarring starts at the urethral meatus and progresses proximally down the urethra. In severe cases, spongiofibrosis of the penile urethra may be palpable on physical exam.  

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