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Stenosis, also known as urethral stricture, is one of the common diseases (especially in men) that can cause many effects on patients such as discomfort or dysfunction. relate to.1. Causes and mechanisms of stenosis of the foramen
Stenosis in men is when the opening at the tip of the penis is smaller than normal. This pathology occurs due to congenital causes (birth defects in the urethra but this case is rare) or due to sequelae, complications after treatment of some other male diseases such as:
Circumcision : due to improper care and hygiene, leading to sticky inflammation, narrowing of the urethral opening. Complications of treatment of urethral catheterization, urethral stone surgery, laparoscopic surgery for enlarged prostate gland. The sequelae of some urethritis infections such as tuberculosis, gonorrhea, HPV,...
2. Symptoms and complications of foramen stenosis
2.1. Symptoms Symptoms of stomatal stenosis are quite easy to recognize, sufferers often have a feeling from mild discomfort to urinary retention. Specific symptoms include:
Tension, pain in the lower abdomen Leaky urine, urinary incontinence Urine is often cloudy, Urine is often cloudy. , often the patient has to exert effort to urinate. When urinating, the body may have a fever when suffering from a urinary tract infection for a long time. The glans of the penis may be deformed, with many different colored pigment clusters Blood in the urine. 2.2. Complications of stomatal stenosis Complications that are likely to occur if not detected and treated promptly include:
Difficulty urinating, urinary retention causing stagnation of urine in the bladder leading to retrograde infection. adjacent organs (ureters, kidneys). Stagnant urine for a long time causes leakage in the perineal area or scrotal skin, creating conditions for bacteria to enter to form an abscess. Thereby forming a bladder diverticulum, which for a long time will cause kidney failure. Easy premature ejaculation, impotence even urethral narrowing can cause infertility.
3. Surgery to widen the stomata to treat stomatitis
Surgery to widen the stomata is the main method to treat gynecomastia.
Enlargement of the stoma is a surgical procedure to increase the diameter of the opening of the urethral opening to help urine circulate, the urination process can take place normally.
Surgery to widen the stoma is contraindicated for people with advanced diseases such as liver failure, cardiovascular diseases, diabetes, blood clotting disorders...
Before surgery, the patient will Basic tests, chest X-ray, and X-ray of the urethra were carried out, from which to assess the extent and location of the stomatitis most accurately. In addition, the doctor will conduct an ultrasound of the urinary system to assess the degree of influence on the urinary system.
For patients with medical diseases such as high blood pressure, diabetes... should be treated stably before surgical intervention to widen the stoma.
4. Complications after surgery to widen the flute hole
During surgery may bleed, this case is not too dangerous. The doctor will apply a bandage to compress the incision, if there is a lot of bleeding, then stitches to stop the bleeding.
After surgery to widen the stoma, it is also easy to get infected if not cleaned properly (usually prescribed antibiotics and daily dressing change).
There are also cases of patients with recurrent stenosis, these cases need to undergo surgery again by endoscopic stenting.
5. How to prevent stomatitis
Prevention is better than cure, you can limit your chances of getting stomatitis by reducing your risk of disease.When playing extreme sports, it is necessary to fully equip with equipment as well as protective measures to minimize the risk of injury. Create a healthy lifestyle with proper nutrition. Especially safe sex, cleaning the private area after having sex and after urinating. Care and hygiene to protect the foreskin well when dilating the foreskin in children. When circumcision needs to be cared for after surgery properly, helping to limit the sequelae. With the installed cases, the urethral canal circulation should be limited for long-term placement. Pay attention to proper care and hygiene of the mouthpiece and urethral catheter after the urethral catheter has been placed to avoid complications.
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