Urethral stricture

Symptoms:

• dysuria (painful urination)
• difficulty urinating
• slow urine stream (this may develop either suddenly or gradually)
• urine output, decreased
• urinary frequency/urgency, increased
• incontinence
• blood in the semen
• pelvic pain
• lower abdominal pain
• urine, bloody or dark
• discharge from the urethra
• penis swelling

Signs and tests:

A physical examination may reveal:

• a decreased urinary stream
• no abnormalities
• enlarged or tender lymph nodes in the inguinal areas
• redness or swelling of the penis
• urethral discharge
• enlarged/tender prostate

Tests:

• Urinary flow rate may be measured.
• Post-void residual (PVR) measurement.
• A urinalysis.
• Urine culture if evidence of infection
• Tests may be done for Chlamydia and gonorrhea.
• A cystoscopy to confirm diagnosis.