Urethral stricture

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Female urinary tract

Male urinary tract

• 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

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

Review Date: 06/13/2006
Reviewed By: Neil D. Sherman, MD, Urologist, Essex County, NJ. Review provided by VeriMed Healthcare Network.