Urethral stricture is a narrowing or contraction of the urethral lumen due to obstruction. A urethral stricture is a narrowing due to the formation of fibrotic tissue (scar tissue) in the urethra or urethra. Urethral stricture is a decrease in the diameter or elasticity of the urethra caused by the urethral tissue being replaced by connective tissue which then shrinks causing the urethral lumen tissue to shrink.
Urethral stricture is a narrowing of the urethral lumen due to scar tissue and contraction. The most common causes of urethral stricture are injury, stretching and injury related to car accidents, untreated gonorrhea urethritis and congenital abnormalities. (Hapsari Tri et al. 2009)
Urethral stricture can be caused by an infection, trauma to the urethra, and congenital abnormalities. Infections such as follow-up from catheter insertion, urethritis, sexually transmitted disease (STD) (Gonococcus), now may be rare, often infections caused by long-term use of a urethral catheter. Trauma that causes urethral stricture is surgery/action that passes through the urethra (catheterization, transurethral resection), blunt trauma to the groin (straddle injury) which will cause stricture of the pars bulbosa urethra, fracture of the pelvic bone which will damage the membranous urethra which can cause partial or complete urethral stricture, spontaneous passage of stones, trauma to intercourse / childbirth and inadvertent use of transurethral instruments or procedures. And congenital defects. (Baroroh Dewi Baririet. 2011).
Clinical Manifestations:
- The inability to completely empty your bladder when urinating.
- Frequent urination in small amounts.
- Difficulty starting the flow of urine, called hesitancy.
- A slow urine stream.
- The urgent need to urinate, but with little success.
- Feeling the need to urinate after finishing urination.
Nursing Diagnosis for Urethral Stricture :
Urinary retention related to obstruction in the urinary tract
NOC
Domain II : Physiological Health
Class F : Elimination
- Urinary Elimination
- Elimination pattern
- Urine smell
- Amount of urine
- Urine color
- Urine clarity
- Fluid intake
- Bladder emptying perfection
- There is blood in the urine
- Urinary frequency
- Urinary retention
- Pain when urinating
NIC
Domain 1: physiological
Class B : Elimination Management
Urinary Retention Care
- Perform assessments (such as urine output, urine emptying pattern, cognitive function, and pre-existing urinary problems)
- Use suggestions like turning on the water or flushing the toilet
- Stimulate the bladder reflex by applying something cold to the abdomen, moving the inside of the thigh, or turning on the water
- Use the cred maneuver if needed
- Use a urinary catheter if needed
- Inform client/family to record urine output
- Monitor intake and output
- Allow sufficient time for bladder emptying (10 minutes)