What are the causes?

The constriction of the urethra is usually caused by tissue inflammation or the presence of scar tissue. A straddle injury is a common trauma to that can lead to urethral stricture and examples include falling onto a bicycle bar or getting hit in the area close to the scrotum. Men with penile implants, and young boys who have had hypospadias surgery to address an underdeveloped urethra, have a higher chance of developing urethral stricture.

Other common causes of urethral stricture include:

  • Benign Prostatic Hyperplasia
  • pelvic fractures
  • radiation
  • catheter insertion
  • surgery performed on the prostate

Far less common causes include:

  • a tumor located close to the urethra
  • gonorrhea or chlamydia (sexually transmitted diseases)
  • untreated or repetitive urinary tract infection


What are the symptoms?

Urethral strictures can cause numerous symptoms, ranging from mild to severe. Some of the signs are:

  • weak urine flow, or a decrease in volume of urine
  • frequent, sudden urges to urinate
  • frequent starting and stopping of urinary stream
  • a feeling of incomplete bladder emptying after urination
  • burning or pain during urination
  • incontinence
  • penile swelling and pain
  • pain in the pelvic area or lower abdominal area
  • darkening of the urine
  • blood in the semen or urine
  • urethral discharge
  • inability to urinate (this is very serious and you should seek immediate medical attention)