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Urology (Expert Forum)
Urethral stricture causing kidney problems?
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Urethral stricture causing kidney problems?
by gtK, Jun 18, 2004 12:00AM
I suffered a fractured pelvis in an RTA 2.5 years ago (I'm now 28), which resulted in a partially ruptured urethra. The rupture was treated with catheter placement for just over 3 weeks. Since then, I've had a weak stream and the usual symtoms of a stricture and was followed up 10 months later with a uroflow and ultrasound for PVR (4.1 ml/s and ~200ml respectivley)-the stricture was confirmed (3 months later) with a urethroscopy and VCUG (only .5cm long but very narrow). Ever since then I've been waiting to see the urologist to find out what he plans to do (I live in Britian so these time-scales are normal for our overstretched NHS). Recently though, I've developed some back pain around both kidneys when I urinate and on one ocassion, when out for a few beers, I had the most horrendous pain in my kidneys which only started when I began urinating! This can also happen if I drink lots of much water. Is the delay in treatment causing any adverse effects to my kidneys? Luckily though, I haven't had any infections but still feel full after going and have severe symptoms. I also take 150mg Diclofenac daily for residual hip OA. Your insight on this would be greatly appreciated.
Doctor's Answer
by Kevin Pho, MD, Jun 19, 2004 12:00AM
, Jun 19, 2004 12:00AM
Any type of stricture - whether it is a stricture from the urethra, or blockage from the prostate can lead to hydronephrosis (swelling of the kidneys) as well as kidney failure.
Because you are at risk for this I would suggest obtaining simple blood tests to evaluate the kidney function (via the creatinine level) to ensure this isn't the case.
Hydronephrosis can be easily measured via a kidney ultrasound. If you are having back and flank pain in the setting of a urethral stricture, this may be something you may want to consider.
I would discuss these options with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Because you are at risk for this I would suggest obtaining simple blood tests to evaluate the kidney function (via the creatinine level) to ensure this isn't the case.
Hydronephrosis can be easily measured via a kidney ultrasound. If you are having back and flank pain in the setting of a urethral stricture, this may be something you may want to consider.
I would discuss these options with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Member Comments
by Laurie831, Apr 16, 2008 02:59PM
A related discussion, I have 1 kidney & just found out that I have a kidney stricture right next to the kidney, what type of treatments will I have to look forward to because of my scenario? was started.
