Q64.32

Clinical Causes: Developmental anomalies during fetal growth leading to abnormal formation of the urethra. Genetic factors that may contribute to improper development of the urethral tissue. Potential association with other congenital urinary tract abnormalities. In some cases, no specific cause is identified, and the condition appears sporadically. Environmental influences during pregnancy, although rare, might also play a role.

Key Symptoms: Difficulty urinating or a weak urine stream. Dribbling after urination. Urinary retention or inability to empty the bladder fully. Recurrent urinary tract infections. Pelvic discomfort or pain. Potential swelling of the penis or penis deformity in severe cases.

Diagnosis Path: Physical examination focusing on the genital area. Urinalysis to detect signs of infection or other abnormalities. Uroflowmetry to measure the flow rate of urine, identifying any obstructions. Imaging studies such as ultrasound, retrograde urethrogram, or MRI to visualize the urethral structure. Cystoscopy, a minimally invasive endoscopic procedure, allowing direct visualization of the urethra and diagnosis of strictures.

Treatment Protocols: Dilation procedures to widen the narrowed segment of the urethra. Urethroplasty, a surgical reconstruction of the urethra, often providing a more permanent solution. In some cases, catheterization may be necessary to ensure urine flow during treatment or healing. Management of associated urinary tract infections with antibiotics. Post-treatment follow-up to monitor for recurrence or complications.