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Male urethral strictures - Symptoms
Last reviewed: 04.07.2025
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Symptoms of urethral strictures in men are characterized by the appearance of a weak stream of urine during urination. Sometimes pain may occur during urination or sexual arousal. The addition of infection through a suprapubic urinary fistula with urethral strictures or the spread of infection from the lumen of the spongy part of the urethra in the proximal direction leads to the appearance of symptoms of prostatitis, epididymitis, vesicoureteral reflux, pyelonephritis.
Complications of urethral stricture in men
Infection and tissue ischemia in the stricture area play a key role in the development of local complications. These include:
- urethral fistulas;
- paraurethral abscesses and phlegmons;
- suprastricture stones of the urethra;
- dermatitis and cellulite.
Systemic complications include:
- acute and chronic infections of the internal and external genital organs (bacterial prostatitis, bacterial vesiculitis, bacterial epididymitis);
- acute and chronic infections of the upper and lower urinary tract (pyelonephritis, pyonephrosis, cystitis, “small” bladder, etc.);
- sepsis;
- vesicoureteral reflux, hydroureteronephrosis:
- urolithiasis (stones of the kidneys, ureters, bladder, urethra);
- chronic renal failure;
- vascular erectile dysfunction;
- secondary hypogonadism:
- infertility.
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