Urethral orifice stricture, what's the cause and how to manage it?
Nov 05, 2024
Source: Cainiu Health
Dr. Yang Ziqi
Introduction
Long-term neglect of genital hygiene may lead to urethritis. The inflammatory response can cause congestion and edema of the urethral mucosa, resulting in scar tissue formation and subsequent urethral stricture. This condition is often accompanied by symptoms such as frequent urination and urgency. It is recommended to treat under medical guidance using medications such as moxifloxacin hydrochloride tablets, amikacin sulfate injection, and cefixime tablets.
Under normal circumstances, urethral orifice narrowing may be caused by factors such as growth and development, congenital developmental abnormalities, urinary tract infections, urethritis, and urethral stones. If discomfort occurs, timely medical consultation is recommended. Specific analyses are as follows:
1. Growth and Development
During male puberty, increased levels of androgens in the body may cause thickening of tissues surrounding the urethra, potentially leading to a relatively narrower urethral opening. This condition typically does not present other obvious symptoms. It is recommended to gradually dilate the urethral orifice under medical supervision using metal sounds of increasing diameters.
2. Congenital Developmental Abnormalities
Congenital malformations result from abnormal development of urethral structures during embryogenesis. Such abnormalities may lead to urethral stricture, accompanied by symptoms such as difficulty urinating and a thin urine stream. Treatment with urethral dilation procedures under medical guidance is recommended.
3. Urinary Tract Infection
Poor hygiene of the genital area over a prolonged period may lead to urethritis. The inflammatory response can cause congestion and edema of the urethral mucosa, eventually forming scar tissue that results in urethral narrowing. Symptoms often include frequent urination and urgency. Under medical guidance, treatment may involve medications such as moxifloxacin hydrochloride tablets, amikacin sulfate injection, and cefixime tablets.
4. Urethritis
Bacterial infection may trigger urethritis. The resulting inflammation can damage the urethral mucosa, and during the healing process, scar tissue may form, leading to urethral narrowing. Symptoms may include urgency and pain during urination. Under medical advice, treatment may include medications such as amoxicillin capsules, clarithromycin capsules, and metronidazole tablets.
5. Urethral Stones
Urinary tract infections may lead to urinary stones. As urethral stones pass through the urethra, they may injure the urethral mucosa, causing local inflammation and scar formation, which can result in urethral narrowing. Common symptoms include painful urination and hematuria. Following medical advice, stone-expelling medications such as Paishi Granules, Jinqiancao Granules, and Niaoshitong Pills are recommended.
In daily life, maintaining cleanliness and hygiene of the genital area, along with regular bathing and changing of clothes, helps prevent the occurrence of such conditions.
