Urethral stricture
Symptoms
- Dysuria (painful urination)
- Difficulty urinating
- Slow urine stream (may develop suddenly or gradually)
- Spraying of urine stream
- Decreased urine output
- Increased urinary frequency or urgency
- Incontinence
- Blood in the semen
- Pelvic pain
- Lower abdominal pain
- Bloody or dark urine
- Discharge from the urethra
- Swelling of the penis
- Urinary retention
Exams and Tests
A physical examination may reveal the following:
- Decreased urinary stream
- Enlarged or tender lymph nodes in the inguinal (groin) areas
- Redness or swelling of the penis
- Urethral discharge
- Enlarged or tender prostate
- Distended bladder
- Hardness (induration) on the under surface of the penis
Sometimes the exam reveals no abnormalities.
Tests include the following:
- Urinary flow rate may be measured
- Post-void residual (PVR) measurement
- Urinalysis
- Urine culture (if evidence of infection)
- Tests for chlamydia and gonorrhea
- Cystoscopy to confirm diagnosis
- A retrograde urethrogram to confirm diagnosis
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