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What Causes Narrowing Of The Urethral Opening In A Child?
Question: Hi Doctor,
My 1 Year 4 Months old kid was diagnosed yesterday and we are told by the doctor that our kid's urethra opening has lesser diameter. Now we are in panic, please help us how could this be corrected? (Symptoms: Kid feels paining while urinating, color of urine is normal, sometimes we feel urine is b)
My 1 Year 4 Months old kid was diagnosed yesterday and we are told by the doctor that our kid's urethra opening has lesser diameter. Now we are in panic, please help us how could this be corrected? (Symptoms: Kid feels paining while urinating, color of urine is normal, sometimes we feel urine is b)
Brief Answer:
Suggestive of urethral stricture.
Detailed Answer:
Hi & Welcome.
I can understand your concern for your beloved kid.
After having gone through the history given, your kid seems to be having the narrowing of the urethral opening referred to as urethral stricture.
It is usually caused by inflammation or the presence of scar tissue following a traumatic injury.
Since he is getting pain while passing urine, this condition needs to be treated.
I advise you to consult a urologist for proper evaluation to choose the most appropriate treatment.
Following are the treatment options:
1. Catheterization: By inserting a small tube (catheter) into urinary bladder to drain urine is the usual first step for treating urine blockage. A course of antibiotics to treat an underlying infection if present is also required.
2. Dilation. In this procedure, a tiny wire is inserted through the urethra and into the bladder. Progressively larger dilators pass over the wire to gradually increase the size of the urethral opening.
3. Endoscopic urethrotomy. During this procedure, a cystoscope (thin optical device) is inserted into the urethra. Instruments inserted through the cystoscope into the urethra remove the stricture or vaporize it with a laser.
This surgical procedure offers faster recovery, minimal scarring and less risk of infection.
Hope the suggestions given above would of great help in correcting his problem.
Best regards.
Suggestive of urethral stricture.
Detailed Answer:
Hi & Welcome.
I can understand your concern for your beloved kid.
After having gone through the history given, your kid seems to be having the narrowing of the urethral opening referred to as urethral stricture.
It is usually caused by inflammation or the presence of scar tissue following a traumatic injury.
Since he is getting pain while passing urine, this condition needs to be treated.
I advise you to consult a urologist for proper evaluation to choose the most appropriate treatment.
Following are the treatment options:
1. Catheterization: By inserting a small tube (catheter) into urinary bladder to drain urine is the usual first step for treating urine blockage. A course of antibiotics to treat an underlying infection if present is also required.
2. Dilation. In this procedure, a tiny wire is inserted through the urethra and into the bladder. Progressively larger dilators pass over the wire to gradually increase the size of the urethral opening.
3. Endoscopic urethrotomy. During this procedure, a cystoscope (thin optical device) is inserted into the urethra. Instruments inserted through the cystoscope into the urethra remove the stricture or vaporize it with a laser.
This surgical procedure offers faster recovery, minimal scarring and less risk of infection.
Hope the suggestions given above would of great help in correcting his problem.
Best regards.
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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