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Ureteric Stricture – Symptoms, Causes, Diagnosis & Treatment

Advanced Urology Urinary Problems

Ureteric Stricture – Symptoms, Causes, Diagnosis & Treatment

Ureteric Stricture – Symptoms, Causes, Diagnosis & TreatmentThe urethra is a body part of both males and females which is responsible for passing out the urine from the body. It carries the urine from the bladder and throws it out of the body passing all the way through the penis.

The ureteric stricture either blocks the flow of the urine or slows it down and causes great discomfort and pain.

Common causes of Ureteric Stricture

Ureteric Stricture is a common problem in males. The reason behind it is that males have a longer urethra. Ureteric Stricture is rarely an occurrence in females and children. Ureteric Stricture can occur at any age and at any point of the urethra, from tip to the bladder. Any such structure can restrict the flow of the urine and cause a lot of problems. Some of the reasons for Ureteric Stricture are:

  • Any shock to the urethra
  • infection such as a sexually transmitted disease
  • damage from surgery
  • conditions leading to swelling

While these are the common causes, in most of the cases, there is no cause of ureteric structure is found.

In adults, however, there are additional reasons that can cause ureteric stricture, including:

  • injury from an accident
  • direct fall onto the scrotum or perineum
  • prostate surgery
  • kidney stone removal surgery
  • urinary catheterization
  • injury from other surgical tools

Common symptoms of Ureteric Stricture

Ureteric stricture has very commonly observed symptoms which include:

  • blood in urine or dark-colored urine
  • bloody semen
  • obstructed urine stream
  • spraying urine stream
  • pain while urinating
  • abdominal pain
  • urethral leaking
  • UTIs in men
  • swelling of the penis
  • loss of bladder control

How to diagnose Ureteric stricture?

When you approach RG Stones Multi-Specialty hospital with a Ureteric stricture problem, our doctors examine your body thoroughly to identify the problem. Some of the common exams that are recommended include:

  • physical exam
  • urethral imaging (X-rays or ultrasound)
  • urethroscopy (to see the inside of the urethra)
  • retrograde urethrogram

Treatment for Ureteric Stricture

Ureteric Stricture cannot be treated with medication and other treatments are used for a successful recovery. At RG Stones Multi-Specialty hospital we recommend different types of treatment for ureteric stricture depending upon the size of the stricture. We recommend the following ureteric stricture treatment:

  • Dilation: The doctors use special methods to stretch the stricture gradually and make way for the urine to pass.
  • Urethrotomy: A specialist cut the stricture with a laser or knife through a scope
  • Open surgery: This is the process of surgically removing the stricture with reconnection and reconstruction. The doctor may possibly use grafts (urethroplasty) for a successful surgery. Our doctors specialize in open surgery and ensure successful treatment for ureteric stricture.

We are a team of reputed and highly experienced urologists who have performed several successful ureteric stricture surgeries. We ensure a successful surgery and offer quick recovery.

Minimal Invasive Surgery Urinary Problems

Stages of uterine prolapse

What is uterine prolapsed?

This is a condition that occurs in women; it occurs when the connective or muscles like ligament are weakened or damaged, allowing the uterus to fall into the vagina. A lot of women experience this as a result of childbirth, severe coughing, obesity, hormones changes after menopause, etc.

The womb is the female reproductive system. This reproductive system is located inside the pelvis, the muscles that support the bladder, bowel, and the uterus is called the pelvic floor, these muscles also keep the pelvic organ and the uterus in place. If these connective tissues or muscles are weakened or damaged, it gives room for the uterus to fall into the vagina; this condition is known as prolapse. When these structures, the bladder, urethra, bowel, rectum, uterus, and even the vagina falls out of position, without urgent treatment or surgery can lead to them prolapsing further into the vagina and as well as into the vagina opening.


The symptoms that come with this condition depends on the type of uterine prolapsed. But the most common symptom that is applied to every woman is the sensation that the structures or the tissues are out of place. A lot of women describe this sensation as something descending downward; the more severe the prolapse, the more symptoms are experienced. Specific symptoms to vaginal prolapsed include the following:

  • Constipation: This is one of the most common symptoms of the rectocele
  • Enlarged vagina: This is the finding physically seen mostly by women.
  • Bowel emptying difficulty: This symptom is also known as splinting. A woman will find it very difficult to empty her bowel.
  • Bladder emptying difficulty: This is one symptom of prolapse, where the woman finds it difficult to empty her bladder.
  • Pains: A lot of pains are felt during long-standing periods. If you experience severe pains during this period, you need to visit a medical professional to examine you.
  • Stress in urination: This is one common symptom of prolapse, there are severe stress and difficulty during urinating.

Stages of uterine prolapsed

There are 4 stages of uterine prolapse; these are as follows:

  • 1st-degree prolapse: At this stage, the uterus falls in the lower part of the
  • 2nd-degree prolapse: At the second stage, the uterus drops to the vagina opening
  • 3rd-degree prolapse: At this stage, it is called the complete prolapse, where the cervix is positioned at the uterus bottom sags into the opening of the vagina.
  • 4th-degree prolapse: At this stage, the entire uterus projects outside the vagina.

Diagnosis and treatment

When you experience the common symptoms that are listed above, you don’t have to panic, you have to visit a professional healthcare center so that you can be properly diagnosed and treated because there are reliable treatment methods that are used in treating this conditions and many women have been healed from it. Some of the treatment for uterus prolapse is listed below:

  • Vagina surgery
  • Pelvic floor exercise
  • Vaginal pessary.

The condition of uterine prolapse in women is nothing to fear about as the result of childbirth, obesity and some other factors have made a lot of ladies to have this condition, there are many ways that have been discovered to be able to solve this condition.

Minimal Invasive Surgery Urinary Problems

Ovarian Cysts – Types, Causes & Treatment Options

An ovarian cyst is a health condition whereby the ovaries contain a fluid-like jelly. While multiple types of ovarian cysts exist, it is imperative to note that each type has a distinct cause. Some people do not realize that they have ovarian cysts, as they may not experience any symptoms. On the other hand, there exist people who may experience some slight symptoms like stomach bloating, pain in the lower back as well as the abdomen. Ovarian cysts are not usually harmful but it may be fatal and painful if the cyst opens up.

Types of ovarian cysts

  • Functional cysts: Exists as either follicular or corpus luteum cyst and grows as follicles on the ovaries. The ability of these follicles to release estrogen and progesterone hormones influences ovulation.
  • Dermoid cysts: This type of cyst develops from the embryonic cells and are hardly cancerous. They may contain tissue like skin or hair.
  • Cystadenomas: Cystadenomas develops on the surface of an ovary and has the potential of filling up with water or mucous-like fluid.
  • Endometriomas: Develop following the growth of uterine endometrial cells outside the uterus and causes some tissue to attach to the ovary, forming a growth.

Causes of ovarian cysts

There are multiple types of ovarian cysts, including the very common functional cysts that develop following the menstrual cycle. The name is owed to the fact that it normally forms on a monthly basis and exists as a follicular cyst or a corpus luteum cyst.

  • Hormonal problems: If a woman exhibits hormonal problems, then they are likely to develop ovarian cysts. These hormonal challenges include the consumption of Clomiphene, which is commonly referred to as the Clomid (a fertility drug) as a means to induce ovulation.
  • An acute infection in the pelvic: In the event that a woman has a serious pelvic infection, then it spreads to the ovaries, this person will most definitely develop ovarian cysts.
  • Endometriosis: This is a condition that results in the growth of the uterine endometrial cells outside the uterus. Potentially, some tissue will attach to the ovary, forming a growth.
  • Pregnancy: Upon ovulation and the formation of a cyst, this cyst is preserved by the conditions that come with being pregnant.

Treatment options

The intervention for treating ovarian cysts is dependent on the age of the patient, the type of cyst, its size, and the symptoms manifested.

  • Surgery: This approach is only applicable for a large cyst that is growing and progresses across the second and third menstrual cycles. This approach is also applicable if the cyst is causing pain.
  • Hormonal contraceptives: These include birth control pills meant to prevent the cysts from redeveloping. It is important to note that contraceptives do not reduce an existing cyst.
  • Watchful waiting: This approach is opted for as a means to establish whether the cyst disappears after some time. It applies to simple cysts that are small and fluid-filled.


The potential for cysts to recur if the individual has had a previous incident is significant.

Advanced Urology Urinary Problems

Urethral Stricture in Men & Women – Diagnosis & Treatment

The human body has a thin tube named Urethra that carries the urine out of the body from the bladder. In certain cases, this tube gets blocked due to the narrowing of the scar tissues. This obstructs the flow of the urine causing various other complications. The medical condition where scar tissue growth narrows the urethra is known as Urethral Stricture. Some of the common problems associated with Urethral Stricture include the backflow of the urine to the bladder as well as obstruction in urinating. Both conditions are complex and may lead to kidney failure.

What are the common causes of urethral stricture?

The manipulation of the urethra is one of the common reasons for the urethral stricture problem. The complication of the urethra can be a result of prostate brachytherapy, prostatectomy, damage caused by a urethral catheter, or a corrective measure taken for hypospadias.

However, there are certain inflammatory conditions as well that can cause urethral strictures. Such conditions include untreated sexually transmitted infections (STIs) or a medical condition named balanitis xerotica obliterans.

Common symptoms of urethral stricture

Some of the common symptoms of the condition include:

  • Reoccurring Urinary tract infections
  • Increase in urine frequency
  • Bladder control loss
  • Painful urination
  • Swelling in the genitals
  • Long urinating duration
  • Urgency to urinate
  • Feeling full bladder after urinating

Urethral stricture in men and women

Usually, the urethral stricture is a problem experienced by males than females. However, both males and females can have a urethral stricture. Posterior urethral stricture and anterior urethral stricture are two types of urethral stricture found in men. In females, the chances of urethral stricture are limited to 2.7-8 percent only.

How is urethral stricture diagnosed?

When you approach your medical care provider, they will analyse your medical history and read the symptoms to get an idea of the condition. A physical exam will be conducted, which will help the doctors to suggest further diagnostic tests. Some diagnosis tools and tests used for identifying urethral stricture include:

  • Urethroscopy
  • Retrograde urethrogram
  • Imaging studies such as MRI scans, CT scans, and ultrasounds

Treatment for urethral stricture

Again a range of characteristics defines what would be the best treatment for urethral stricture. He doctor would check the cause of the condition, its symptoms, occurrence, and many other aspects. Some of the commonly recommended treatments for urethral stricture include dilation, urethrectomy, and open surgical removal.

  • Dilation: In this procedure, the doctor inserts a special device in the urethra, which works against the narrowing and gradually increases the stricture. It is a minimally invasive method and usually the initial phase of the treatment.
  • Urethrectomy: A special urethroscope is used for guidance, and the stricture is cut off manually using a laser beam.
  • Open surgical removal: Expert doctors surgically remove the stricture. It is an invasive method but shows a great success rate.


Advanced Urology Urinary Problems

Female Urinary Incontinence – Symptoms, Causes, Diagnosis & Treatment

Female urinary incontinence is a medical condition in which females experience involuntary loss of urine. The condition ranges from mild to severe, wherein women either lose a few drops of urine while coughing or sneezing or may have a strong sudden urge to urinate, which is often uncontrollable. In certain women, both types of incontinence are observed. Incontinence causes great public discomfort as the notion of urinating in public is often embarrassing. Moreover, it can also happen while you are having sexual intercourse, which makes the condition even worse.

What are the different types of Female Urinary Incontinence?

Female Urinary Incontinence is primarily of 7 types and affects women of different ages and physical conditions. This includes:

  • Stress incontinence: Stress caused because of any physical activity such as coughing, sneezing, or exercising causes incontinence.
  • Urge incontinence: This is a condition when an urge to urinate is uncontrollable. Such women lose a large amount of urine, including during sleep.
  • Overactive bladder incontinence: Frequent urge topee or urge to urinate.
  • Functional incontinence: Several reasons such as physical disability, internal obstacle, and more contribute towards untimely urination.
  • Overflow incontinence: Full bladder results in leakage of small amounts of urine.
  • Mixed incontinence: A combination of stress and urge incontinence
  • Transient incontinence: A temporary problem with urination that passes out with time.

What are the common symptoms of female urinary incontinence?

The symptoms of different types of incontinence are different; however, in each case, one or other cause makes you lose urine involuntarily. The symptoms may range from the loss of a small amount of urine to large quantities.

What are the causes of female urinary incontinence?

Female Urinary Incontinence cannot be treated as a disease. It is but a condition that may be permanent or temporary. It is mostly a side-effect of any underlying physical or medical problem.

Causes of temporary incontinence

There are certain food and beverages that act as diuretics. These include:

  • Alcohol
  • Caffeine
  • Carbonated drinks
  • Sparkling water
  • Artificial sweeteners
  • Chocolate
  • Chili peppers
  • Spicy, Sugary or acidy food
  • Heart and blood pressure medications, sedatives, and muscle relaxants
  • Large doses of vitamin C

Besides this, Urinary Tract Infection, as well as constipation, can also result in Female Urinary Incontinence.

Persistent urinary incontinence

These are often an outcome of an underlying medical or physical conditions. Such conditions comprise of Pregnancy, Childbirth, Changes with age, menopause, hysterectomy, obstruction, or neurological disorders.

How is female urinary incontinence diagnosed?

The doctors determine the type of incontinence with your symptoms. They will also examine your medical history as well as recommend some physical tests. The common diagnostic tests used are:

  • Urinalysis: A urine test is performed to check for any infection, traces of blood, and other abnormalities.
  • Bladder Diary: A log is maintained about the amount of water you drink, the amount of urine you pass, when you urinate, urge that you feel, and the incontinence episode that occurs in between.
  • Post-void Residual Treatment: This is a detailed test in which the patient is asked to urinate in a container. The amount of leftover urine in the bladder is checked by the doctor using a catheter or an ultrasound test.

What is the treatment of female urinary incontinence?

The doctors will advise you on the best decision as per your condition and symptoms. Commonly recommended treatment options for female urinary incontinence include:

  • Behavioral techniques
  • Medication
  • Medical devices
  • Interventional therapies
  • Surgery

Expert doctors suggest surgery as a reliable treatment for incontinence that is persistent and severe in nature. We are the best hospital to approach for female urinary incontinence. Our expert doctors have performed several successful surgeries. If you are dealing with an incontinence problem, connect with us.

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