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Penis and Urethra Surgery
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==== Acquired ==== #'''<span style="color:#ff0000">Trauma (most common cause in developing countries)</span>''' #* '''<span style="color:#ff0000">Most urethral strictures are the result of straddle trauma</span>''' #** This trauma often goes unrecognized until the patient presents with voiding symptoms resulting from the obstruction of the stricture or scar #* '''Iatrogenic trauma''' to the urethra still exists, but with the development of small endoscopes and the limitation of indications for cystoscopy in boys, we see fewer iatrogenic strictures today than in the past. # '''<span style="color:#ff0000">LS-related urethral strictures</span>''' #* '''Tend to be longer''' #* '''May have a higher association with urethral cancer''' # '''<span style="color:#ff0000">Infection</span>''' #* '''Inflammatory strictures associated with gonorrhea''' were the most commonly seen in the past and are less common now. #** With the advent of prompt and effective antibiotic treatment, gonococcal urethritis progresses less often to gonococcal urethral strictures. #* '''The role of Chlamydia and Ureaplasma urealyticum (i.e., nonspecific urethritis) in the development of anterior urethral strictures is unclear'''
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