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Clinical Presentation

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Any patient who presents with poor flow may have a stricture. Other symptoms are:

  • hesitancy
  • poor flow
  • feeling of incomplete bladder emptying
  • dysuria
  • urinary tract infection.

Many patients know they have a stricture and are under treatment.

After dilatation the patient may get pain, fever, bleeding per urethra.

I have seen patient presenting with chronic renal failure due to back pressure changes and a patient after kidney transplant still being treated with dilatation.

Watering can perineum though rare now a days may be the presenting symptom.

Patients with Lichen Sclerosus may have undergone circumcision and or meatoplasty.

Many patients are on intermittent self catheterization.

Rarely a patient may present with a lump in the perineum due to urethral carcinoma.

Painless bleeding per urethra is a leading symptom of patients with urethral hemangioma.

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