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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Is it possible to remove kidney stone stuck in penis using catheter?
Query: Hello doctor,My father is a heart patient and his ejection fraction is 35 %. He is now suffering from kidney stone which is currently stuck in the penis. He has heavy pain during urine passage. The urine flow is almost zero. The doctor suggested for the operation with high cardiac risk. Can catheter... Read Full »
Answer: Hi, Welcome to icliniq.com. He has a stone in urethra, just proximal to a stricture (attachment removed to protect patient identity). Opening up of the stricture segment and stone removal will be done at the same time. Cardiac risk is a real risk but is usually managed by good anesthetists. Just cat... Read Full »
I am having premature ejaculation after doing urethral play. Why?
Query: Hello doctor, About six years ago, I engaged in some urethral play with my partner. I put a small pen into the urethra, only about 2 to 3 inches in. Since then, I feel I may have done damage to the smooth muscles in the corpus spongiosum or the tunica albuginea. I can feel, right inbetween the corpu... Read Full »
Answer: Hi, Welcome to icliniq.com. First of all, let me assure you, premature ejaculation is due to excessive sensitivity of the sympathetic nervous system and not due to any trauma. If the urethra is damaged because of foreign body insertion, then the only problem will be urethral stricture, which will ... 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 i... 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 these strictures ... Read Full »
Why is there a black mass on my penile shaft?
Query: Hi doctor,Halfway down my penile shaft, I seem to have a black mass. I can notice it only when my foreskin is pulled down. I have symptoms of prostatitis and urethritis for two years. I have symptoms of dysuria, urine dribbling, inflamed meatus, constant urethral pain, prostatitis, epididymitis and ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. You have taken a lot of antibiotics to get cured. If it is a prostate infection, then it takes some time to get cured. If you have pain during ejaculation, then you need think of a bacterial infection. You have done some investigations for... Read Full »
What causes the penis skin to rip?
Query: Hi doctor, I am a 38 year old male. When I was 19 years old, I had a circumcision due to a tight foreskin. This has never been a problem until of late. There are two issues that I am suffering with. The first is on the under side of my penis when I get an erection to have sex or masturbate, where my... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. I completely agree with the first problem although it is unlikely to be related to circumcision. I also feel that the underneath scar tissue is responsible for the closing of the pee hole rather than the procedure which was ... Read Full »
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