Scarring of the urethral inner surface causes narrowing of the urethra leading to urethral strictures. Symptoms include reduced urine flow, pain or strain while urination, increased urinary urge, urinary tract infection, incomplete urination, etc. Scar tissue formation can be secondary to sexually transmitted disease, injury to the urethra, long-term catheter usage, urethral endoscopy, enlarged prostate, radiation therapy, etc. Treatment includes urethrotomy, urethroplasty, and dilation.
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Kindly tell me ways to overcome pain while urinating.
Query: Hi doctor, I am not sure exactly when I started having a split stream urination problem, but I really worried about it recently. I mean, it never really used to bother me besides the occasional mess and I used to think it was more a result of tight underwear or something. My urine basically splits... Read Full »
Answer: Hi, Welcome to icliniq.com. Splaying of urinary stream does not always mean a problem, but is important to rule out significant urinary tract pathology like urethral stricture, bladder neck dyssynergia, etc. As an initial evaluation, you can get an ultrasound KUB (kidney, ureters and urin... Read Full »
Why am I having constant burning and pain in my genitals with frequent urination?
Query: Hi doctor, I am experiencing a burning sensation before and after urination; sometimes I see the light pink colored blood in the urine. From the past seven days, I am having a lot of discomforts, even while sitting idle or sleeping there are a constant burning and pain in my genitals, and I urinate ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). Your urine examination shows blood, so we need to find the source of blood in the urine. And, pain on urination might be due to narrowing of the urethra (urethral stricture). I w... Read Full »
Why has my urine flow reduced after ureter stone removal?
Query: Hi doctor, I had a stone in my left ureter. The stone was removed and a stent was placed for two months through surgery. After the stent was removed, I noticed a drastic change in my urine flow. Also, I am having regular pain in the lower part of my kidney. I had no issue in urine flow or any pain ... Read Full »
Answer: Hi, Welcome to icliniq.com. The decrease in your urine flow following the procedure could be due to a stricture anywhere in the urethra. You should get a uroflometry done to confirm the diagnosis. It should be followed by an ascending urethrogram to locate the stricture. Most of th... Read Full »
I am having difficulty in urination with smegma and a burning sensation after semen loss. What could be the reason?
Query: Hello doctor, I have symptoms like stricture urethra and difficulty to urinate, and I need to apply more pressure during urination and my penis is not circumcised. Nowadays, I crack my penis foreskin during contact, and sometimes, a smegma-type white substance is seen on the penis. I also have a bur... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome back to icliniq.com. I read your query and understand your concern. From your history, the condition is more likely a stricture urethra. For diagnosis, you need urethrogram antegrade and retrograde studies. After that only, we can decide on treatment options. As far as smegma is c... Read Full »
Is self-catheterization usually advised after surgery for burning urination?
Query: Hi doctor, A few months ago, I have undergone surgery for urine burning problem. They said there is no need for self-catheterization. At present, there is no burning problem. Sometimes, slight burning or uneasiness occurs. The flow is quite reduced. Now, the doctors recommended for self-catheteriza... Read Full »
Answer: Hi, Welcome to icliniq.com. Please relax and do not worry. I have gone through your case completely. You had a stricture in urethra for which endoscopic surgery was done. After this surgery, patients may require self-dilatation and not self-catheterization. Both are different. Self-dilatatio... Read Full »
I am passing urine with little strain. Why?
Query: Hi doctor, I am 40 years old. From last two days I am suffering from frequent urination during day time with little bit burning sensation. My blood sugar and BP are normal. Urine flow is not so strong. I used to urine by pressing the penis and this is not the first time. As far as I can recall it f... Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hi, Welcome to icliniq.com.I have some more queries about your complaints. Do you have any nocturia that is do you have any disturbed sleep due to increased frequency of urination during nights? Any difficulty in passing urine or any hesitancy to start or any straining during urination? ... Read Full »
What is the reason for pain while passing urine?
Query: Hi doctor, I am a 50 year old male. My weight is 84 kg and 5 feet 10 inches tall. I am experiencing pain while urinating in the outlet of the organ. This is the first time I am getting such a pain. Please help me. Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your case and can well understand your genuine health concern. Pain while passing urine can be due to a various number of reasons. It can be due to urinary tract infection or stone in urethra or the bladder or urethral stricture (narrowing o... Read Full »
Why do I have severe pain when I finish urinating?
Query: Hi doctor, I am having painful urination. When I pass urine only 5-10 mL of urine I pass and then end up with so much of pain. The pain is like something stuck in my penis or like some wound inside the penis. And I am also getting blood in urine. This is happening to me for the last two days. Please... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Painful urination along with blood is a sign of urinary tract infection. However, I strongly suspect a possible urethral stricture or urethral mucosal rupture. Get a urine microscopic examination to evaluate for u... Read Full »
What could cause urinary incontinence with urine flow in different directions?
Query: Hello doctor, I have occasional urine incontinence. Urine flows in different directions and drops on my legs. I have persistent high pressure, weak erection and quick ejaculation. And also have difficulty concentrating on tasks for a long time. Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Incontinence of urine and multiple streams with high pressure are consistent with urethral stricture. It is narrowing of the urethra causing the above mentioned symptoms. Enlarged prostate can also cause the same issue but less common with multiple streams like this. T... Read Full »
Do I really need cystoscopy with dilation for 20 % urethral stricture?
Query: Hello doctor, I was diagnosed with an anterior bulbar urethral stricture that is 20 % closed. I had two episodes of prostatitis, post-void dribbling and frequent urination with occasional mild burning and some mild spraying at the end of my stream. The urologist is recommending a repeat cystoscopy w... Read Full »
Answer: Hello, Welcome to icliniq.com. When were you diagnosed with stricture? Where were you treated at that time and what treatment was given? Yes, I also feel that you should repeat cystoscopy and get it dilated as it invariably recurs. So, better to undergo cystoscopy and get it dilated as without th... Read Full »