Difficulty urinating, frequent urination, examination revealed penile urethral stricture

Taking the medical history, the patient said that he had previously had symptoms of frequent and painful urination, difficulty urinating, a swollen left scrotum, and severe pain when touched. The patient went to a medical facility for examination but his condition became increasingly worse, and he was admitted to Nguyen Trai Hospital for emergency treatment.

At the emergency department, after examination and consultation at the department, the doctor concluded that patient K. had left testicular and epididymitis and transferred him to the Department of Urology for treatment.

Specialist Doctor Phan Lien Khuong, Head of the Department of Urology, Nguyen Trai Hospital, said that the patient was treated with intravenous antibiotics combined with strong anti-inflammatory and pain relievers for 7 days, the left testicle was less swollen, no more pain, no fever. However, the patient still complained of difficulty urinating, straining to urinate, and a feeling of not being able to urinate completely.

The patient was prescribed retrograde cystourethrography and urinary cystourethrography. Through examination and medical history, the doctor diagnosed penile urethral stricture.

Oral mucosal grafting for urethral stricture

The team decided to perform anterior urethroplasty using oral mucosal grafting. The doctor made an incision around the glans and dissected the narrowed urethra. A 1.5x6 cm cheek mucosal graft was taken, processed, and then sutured and fixed to the cavernous body to reconstruct a new urethra. The patient was then hemostatic, the spongy body and foreskin were sutured closed, and the grafted area was bandaged.

According to Dr. Khuong, oral mucosal grafting in the treatment of anterior urethral stricture is a complex technique with many stages and requires meticulousness and delicacy. In cases of long penile urethral stricture that cannot be surgically resected, the method of plastic treatment with autologous grafts has many advantages such as good results, high success rate according to medical literature (82-89%).

Bác sĩ: Không chủ quan với triệu chứng tiểu khó, tiểu gắt - Ảnh 1. — Doctors during surgery on a patient

Do not be subjective with symptoms of difficult urination and weak urination.

Master - Doctor Vo Duy Tam, Nguyen Trai Hospital said that urethral stricture can be caused by many different reasons, from congenital, autoimmune to acquired (such as after trauma, after urethritis, due to medical intervention, ...) but all lead to a common consequence of difficulty urinating and other urinary disorders.

If you currently feel urinary disorders, especially urinary tract obstruction symptoms such as difficulty urinating, straining to urinate, prolonged urination, weak or small urine stream, incomplete urination, etc., you should go to the doctor to be examined and screened for urethral stricture as well as many causes of urinary tract obstruction. Especially if there are risk factors such as a history of urethritis, a history of genital trauma, or previous medical interventions (endoscopic urinary tract surgery, urethral catheter placement, etc.).

"Do not be subjective with symptoms of difficulty urinating because they can lead to complete loss of bladder function as well as affect the activity of the urinary tract, potentially leading to kidney failure," Dr. Tam advised.

Source: https://thanhnien.vn/tieu-kho-tieu-gat-di-kham-phat-hien-hep-nieu-dao-duong-vat-185250805180625688.htm