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.
Clinical presentation

