Urethral Stricture-Causes-Diagnosis-Treatment-Homeopathic Treatment-Best Homeopathic urologist in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur-KPKDr Qaisar Ahmed MD, DHMS.

Urethral Stricture or Urine Retention is a constriction within the urethra (the thin tube that carries urine from the bladder to the outside of the body). This is usually due to an inflammation of the urethra or scar tissue found within it, diminished force of urine stream and may be the narrowing of the urethra itself prevents urine from flowing freely. This condition is seen in both men and women, urethral stricture seems to affect men at disproportionate rates.

Urethral stricture and dysuria are two different diseases with some common symptoms that’s why differentiation is very necessary.

Etiology or Causes

The most common causes of urethral stricture are traumatic or iatrogenic. Inflammatory or infectious, malignant, and congenital etiologies are less common. Approximately 30% of urethral strictures are idiopathic.

Iatrogenic urethral trauma usually results from improper or prolonged catheterization and accounts for 32% of strictures. The size and type of catheter used have an important impact on urethral stricture formation. Silicone catheters and small-caliber Foley catheters are associated with less urethral morbidity.

Urethral stricture after radiation therapy for prostate cancer is a late complication usually observed 1–3 years after radiation.

Lichen sclerosis is a chronic, inflammatory skin condition of the genitalia of unknown origin that accounts for nearly 10% of urethral strictures. Infectious urethral strictures are most often secondary to gonococcal or nongonococcal urethritis, which remains common in certain high-risk populations.

There are quite a few causes for Urethral Stricture or Urine Retention that range from the mundane to medical conditions that might require immediate attention for example:

1. Infection

Infection of the urethra caused by viruses such as sexually transmitted diseases can lead to the narrowing of the urethra and the presence of scar tissue.

2. Surgical Complications/Medical Procedures

A urethral stricture or urine retention can be caused by a number of surgical issues and medical procedures for example surgery to remove the prostate, catheter use, kidney stone removal, and endoscopic examinations that require doctors to place tools into the urethra etc.

3. Injury

Anterior urethral injury is thought to most often result from a blunt force blow to the perineum, producing a crushing effect on the tissues of the urethra. The initial injuries are often ignored by the patient, and urethral injury manifests years later as a stricture. The stricture results from scarring induced by ischemia at the site of the injury.

It is also not uncommon to encounter strictures from iatrogenic causes, including prior instrumentation of the urethra with scopes or urethral catheters.

A congenital stricture results from inadequate fusion of the anterior and posterior urethra, is short in length, and is not associated with an inflammatory process. This is an extremely rare cause.

Symptoms of Urethral Stricture

The symptoms of urethral stricture or urine retention can include:

• Straining (slow or decreased urine stream).
• Stream (urine) spraying.
• Urinary incontinence.
• Dysuria (pain with urinating).
• Abdominal pain.
Hematuria or dark urine.
• Blood in semen.
• Urethral leaking.
• Urinary tract infections (UTI).
• Swelling of the penis.
• Bladder control loss.

There will often be more than one symptom at a time. When these symptoms start appearing, it’s best to go see a doctor for a proper diagnosis.

Diagnosis of Urethral Stricture or Urine RetentionUrethral Stricture or urine retention-Causes-Diagnosis-Treatment-Homeopathic Treatment-Best Homeopathic urologist in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur-KPK

A physical exam of the genitalia to look for hardness, redness, or swelling, especially in males. Following the general physical exams, other tests may be ordered such as urethral imaging (X-ray and/or ultrasound), urethroscopy (so the doctor can look inside the urethra for damage and or scar tissue), and retrograde urethrogram.

Tests for STDs and other viruses and infections may also be run to determine the cause of urethral stricture or urine retention.

Allopathic treatments for Urethral Stricture or Urine Retention

There is no allopathic medical therapy to treat urethral stricture disease; however, urinary tract infections (UTIs) should be adequately treated prior to surgical intervention. Surgical treatment of urethral stricture disease is indicated when the patient has severe voiding symptoms, bladder calculi, increased postvoid residual, urinary tract infection, or when conservative management fails.

The patient should be evaluated and deemed medically stable for the selected procedure. Urine culture should be sterile. Urethral stricture or urine retention disease should be thoroughly evaluated with radiographic and/or endoscopic techniques. The procedure selection should be discussed thoroughly with the patient in advance, and the discussion should include information on the risks and benefits of the procedure and postoperative care. Risks include, but are not limited to, bleeding, infection, recurrence of stricture, and urethrocutaneous fistula formation.

In allopathy unfortunately, most of the treatments for urethral stricture or urine retention aren’t exactly pleasant.

The following are common allopathic treatments for urethral stricture.

1. Dilation

The quickest, non-surgical treatment for urethral stricture is dilation. A wire-like medical device called a dilator is passed into the urethra and pushed upward until the narrow area is found. The device will slowly widen the urethra in the affected location.

2. Surgery

In extreme cases, surgery may be necessary. This usually involves the removal of scar tissue blocking the urethra. This can be done though old surgical procedures or with lasers.

Permanent urethral stents

Permanent urethral stents are placed endoscopically. Stents are designed to be incorporated into the wall of the urethra and provide a patent lumen. Urethral strictures. Photograph of a permanent urinary stunt

Complications include pain while sitting or during intercourse, due to placement or migration of a stent distal to the bulbous urethra. Large multicenter studies have identified short-term risks of perineal discomfort and dribbling. Long-term risks include painful erections, mucous hyperplasia, recurring strictures, and urinary incontinence. Because of complications, permanent urethral stents have been taken off the market world-wide.

Stent placement is contraindicated in patients with dense strictures and in patients with prior substitution urethral reconstruction because it elicits a hypertrophic reaction. It may be best reserved for patients who are medically unfit to undergo lengthy open urethral reconstruction procedures.

Primary repair
Urethral Stricture or urine retention-Causes-Diagnosis-Treatment-Homeopathic Treatment-Best Homeopathic urologist in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur-KPK
Urethral strictures. The buccal mucosal grafts have been secured to the corpora cavernosa. The anastomosis will run along either side of the dorsum of the urethral edges to complete the dorsal only. The glans penis (distal) is at the top of the picture. The catheterized urethra with a dorsal urethrotomy is on the left.

Primary repair (excision and primary anastomosis [EPA]) involves complete excision of the fibrotic urethral segment with re-anastomosis. EPA should not be done distal to the penoscrotal junction, as this will induce chordee.

Primary repair is typically used for strictures 1-2 cm in length. With extensive mobilization of the corpus spongiosum, strictures 3-4 cm in length can be repaired using this technique. Younger patients have more compliant tissue, thus allowing for greater stretch and more ambitious attempts at primary repair.

The key technical points in EPA include complete excision of the area of fibrosis, tension-free anastomosis, and widely patent anastomosis. The repair is left stented with a small silicone catheter in the urethra. The bladder is drained with a suprapubic catheter.

Free graft repair

For free graft repair, success depends on the blood supply of local tissues at the site of placement. Pendulous urethral strictures may be repaired with the patient in the supine or split-legged position. Bulbar or membranous urethral strictures are repaired with the patient in the exaggerated lithotomy position.

The urethra is exposed through a penile or perineal incision. The urethrotomy is made to open the area of the stricture. The tissue graft is harvested from the desired non–hair-bearing location. Most commonly buccal mucosa from the mouth is used but other options include lingual, bladder, or rectal mucosa. A urethrotomy is made either on the ventral or dorsal side of the urethra at the level of the scar, per surgeon preference. The graft is sutured to the edges of the urethrotomy. The graft is covered by the dartos fascia of the pendulous or bulbous urethra. Incisions are closed in 2 layers with an absorbable suture. Full-thickness skin graft is most successful in the area of the bulbar urethra.

Split-thickness skin graft is not preferred with a single-stage repair because of the contraction characteristics of the graft. It is typically reserved for use in patients for whom multiple procedures have failed and in whom local skin is insufficient for further reconstruction.

Buccal mucosal graft Urethral Stricture or urine retention-Causes-Diagnosis-Treatment-Homeopathic Treatment-Best Homeopathic urologist in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur-KPK

Buccal mucosa offers several advantages as grafting source. This tissue is adapted to a moist environment and is resistant to infection and trauma. The epithelium is thick, making it easy to handle. The lamina propria is thin and highly vascular, thus allowing for efficient imbibition and inosculation. Harvesting is easier than with other free grafts or pedicled flaps. A 15- to 20-mm graft is harvested from the oral mucosa. Larger grafts can be harvested depending on the length of the stricture.

Pedicled skin flaps
Urethral Stricture or urine retention-Causes-Diagnosis-Treatment-Homeopathic Treatment-Best Homeopathic urologist in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur-KPK
Depicting pedicled flap anastomosed to the left side of the urethra. Suturing of the right side of the pedicled flap to the urethra completes the anastomosis.
Urethral Stricture or urine retention-Causes-Diagnosis-Treatment-Homeopathic Treatment-Best Homeopathic urologist in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur-KPK
Urethral strictures. Open urethroplasty depicting the pedicled flap.

These procedures are based on the principle of mobilizing an island of epithelium-bearing tissue with a pedicle of fascia to provide its own blood supply. Penile skin represents an ideal tissue substitute because it is thin and mobile and has an excellent blood supply. Moreover, the distal penile skin is typically non–hair-bearing.

3. Urine Flow Diversion

In severe cases where the above treatments are unsuccessful, urine flow diversion may be used to relieve the blockage. This involves the insertion of a catheter into the abdomen and the flow of urine is diverted. It should be noted that this rare measure is often used as a last resort.

Tissue engineering of grafts

Tissue engineering incorporates the disciplines of cell transplantation, materials science, and engineering with the objective of creating functional replacement tissue. For urethral strictures it offers the potential benefit of eliminating the need for autologous tissue; this would be particularly useful in patients with long strictures, who would otherwise require harvesting of lengthy mucosal grafts.

Postoperative Care

Patients typically spend 5-10 days in the hospital, depending on the extent of the procedure. At present, intravenous antibiotics are usually given at the time of surgery only and then followed with oral culture-specific antibiotics or antibiotics with good gram-negative coverage. Antimuscarinic agents are often used to prevent bladder spasms.

Drains, if necessary, are typically removed on postoperative day 1-3. Wounds should be washed with soap and water daily after drains are removed.

Patients may be discharged when they meet the following criteria:

  • Afebrile,
  • Ambulatory,
  • Tolerant of a regular diet,
  • Competent in managing drains, catheters, and wound care.

Patients undergoing internal urethrotomy should return to the outpatient clinic for catheter removal on postoperative day 5 or day 7, patients of open repair typically return at the time of catheter removal, with length of time determined by type of repair.

Postoperative urethral evaluation is not standardized and is physician dependent. One popular method is to perform a retrograde urethrogram or flexible cystoscopy at 4 months and 1 year postoperatively. Patients are usually followed subjectively after 1 year, as the highest risk of recurrence is within the first year.

Complications

Recurrence of the urethral stricture is the most common complication of allopathic treatment/surgery (>80% cases).

Homeopathic Treatment Urethral Stricture or Urine Retention

Homeopaths does not believe in surgeries in urethral stricture or urine retention cases, its completely curable with simple oral medication for few weeks. Here are some well proven Homeopathic medicines for urethral stricture or urine retention:

Berberis Vulgaris

Violent stitching pains in the bladder, extending from the kidneys into the urethra, urging to urinate. Frequently recurring, crampy, contractive pain, or aching pain, in the bladder. Incisive pains in the urethra, even when not urinating. Smarting pain in the urethra, with sensation of excoriation, even during the emission of semen in coition. Urethral Stenosis - Serhat Dönmezer

Motion excites and aggravates the pains in the urethra. Burning pains in the urethra when urinating and afterwards, Stitches and burning in the urethra. Shooting pains in the urethra, extending to the bladder. Aching pains in the region of the bladder, even when it is empty, and after urinating.

Contractive, drawing, acute, incisive, and cramp-like pains in the bladder. Shooting, violent pains in the loins, extending to the bladder. Sensation of burning in the bladder. Pressure while urinating; Urgent inclination to urinate especially in the morning after rising.

Increased secretion of urine, which is as clear as water. Urine pale yellowish, with slimy, gelatinous, mealy sediment, white, greyish white, or reddish, thick, yellowish, like whey, or clay-colored water, of a deep yellow, with abundant sediment or of dark yellow, red, becoming turbid, copious; mucous sediment, or transparent, jelly-like reddish, bran-like sediment (which is easily crushed and dissolved between the fingers).

Greenish urine, depositing mucus. Urine reddish, as if inflamed, with abundant sediment. Urine reddish, sanguineous, with slimy, mealy, and abundant sediment, of a bright red color. The emission of urine is often accompanied by pains in the thighs and in the loins.

Aloe Socotrina

Polyuria, nocturnal polyuria. Frequent urging: burning when urinating, every time on passing urine feeling as if some thin stool would escape with it. Penis shrunk, and testicles cold. Urethral bleeding, hematuria. Urethral inflammation.

Lemna Minor

Polypus. Urethral stricture or urine retention, obstruction with or without polypus. Foul smell urine. In bad cases of urethral stricture or urine retention the tendency is to the growths filling up the rinary tract.

Lycopodium Clavatum

Bright’s disease. Cancer. Consumption. Corns. Cystitis. Debility. Dropsies. Urinary tract inflammation. Fibroma. Glands, swelling of. Hematuria. Impotence. Nymphomania. Paralysis. Paralysis agitans. Peritonitis. Polypus. Urethral stricture or urine retention. Prostatitis. Varicose. Warts.

Polyuria, with discharge of large quantities of mucus, pale urine. Frequent micturition by night, with scanty and rare discharges. Dark urine and/or greasy pellicle on the urine. Discharge of blood from the bladder, painless. Irritable urethra. A very severe pain before urinating; causing patient to cry out; retention of urine; patients will get into position to urinate, but wait a great while before the urine comes, accompanied by the characteristic pain in the back, which ceases when the urine flows. Turbid, milky urine, dull pressure in region of bladder and abdomen. Renal calculus and gravel. Incontinence of urine. Urine smarting with shooting pinching and incisive pains in the bladder and urethra, burning in urethra and glans.

Excoriation between scrotum and thighs. Dropsical swelling of genital organs. Immoderate excitement, or absence of sexual desire. Penis small, cold, relaxed. Itching of the internal surface of the prepuce. Flow of prostatic fluid, without an erection.

Itching, burning, and gnawing in vulva. Shooting pains in labia, when lying down. Excoriation between the thighs, and at the vulva. Burning pain in the vagina, during and after coition. Varices on the genitals.

Cantharis Stricture Urethra

Retention of urine, with cramp-like pains in the bladder. Urgent and ineffectual efforts to make water, with painful emission, drop by drop. Difficult emission of urine, in a weak and scattered stream. Increased secretion of urine. Urine, pale yellow, or of a deep red color. Flow of sanguineous mucus from the bladder. Emission of blood, drop by drop.

Purulent urine. Burning smarting while urinating. Incisive pains in the front part of the urethra, during the emission of urine, and afterwards. Sharp, tearing, and incisive pains, successive pulling and pulsations in the urinary organs. Burning, stinging and tearing in the kidneys. Pressing pain in the kidneys, extending to the bladder; along the ureters; relieved by pressing upon the glans.

Inflammation and ulceration of the kidneys, of the bladder, and of the urethra. Exceedingly painful sensibility of the region of the bladder on its being touched.

Clematis

Purulent urine. Urine turbid, milky, dark, with flakes of mucus and frothy. Secretion diminished; the last drops cause violent burning. Secretion slow and in a small stream. During the emission of urine, pulling in the spermatic cord. Burning sensation and smarting in the urethra, on commencing to urinate, stitches in the urethra; stitches from the abdomen into the chest.

Contraction of the urethra, with the urine stopping suddenly, or only flowing drop by drop; jerk-like tearing in fore part of urethra in the intervals.

The first symptom that calls for the use of Clematis is a feeble stream of urine with slow passage of urine. An extreme constricted sensation is felt in the urethra while passing urine.

The second complaint that can be relieved with Clematis is the difficulty faced by the patient in clearing the full bladder in one go. The urine cannot be passed out once. The flow of urine starts then stops and starts again. This cycle continues several times. The patient always feels as if some urine is still left behind in the bladder, urine is passed drop by drop, dribbling urine, intermittent urine flow and feeble urine steam.

Clematis helps in establishing the proper flow of urine in a stream. It is also helpful for all those patients of Urethral Stricture who have a history of gonorrhea for a long duration.

Teucrim Marum Verum

Polypi. Affections of children. Suitable after too much medicine has been taken. Over sensitiveness. Desire to stretch. Atrophy of urinary canal. Urethral stricture or urine retention. Mucus polyps. Crawling sensation.

Sanguinaria Canadensis

Effects chiefly the mucous membranes. Micturition, neuralgia – pain radiate to all directions. Poor blood circulation. Phthisis. Urine with profuse, offensive yellowish discharges. Urethral stricture or urine retention. Ulcers in urinary tract. Uterine polypi.

Ignatia Amara

Hyperesthesia of all the senses, and a tendency to clonic spasms. Acts as antispasmodic. Twitching of muscles of genital organs. Changes color when at rest. Stitching and burning urinary tract pains, sharp cutting pains. Urethral stricture or urine retention – painful contraction. Excoriation, especially around vagina and mouth.

Apis Melilotus Urethroplasty for Female Urethral Strictures-Dr-Qaisar-Ahmed

Burning soreness when urinating. Strangury, pain in region of kidneys; soreness on pressure or when stooping. Frequent desire, with passage of only a few drops. Urine scanty and high-colored; with thirstlessness. Incontinence of urine from coughing and other circumstances. Urine suppressed. Too profuse discharge of urine.

Frequent and profuse urination. Albuminuria of scarlatina. Burning and stinging in the urethra or burning and smarting in the urethra, as if it were scalded. Bladder very painful, often tenesmus after urinating. Urine often bloody, milky appearance; very dark and frothy; very fetid; sediment reddish-brown, like coffee grounds.

Chimaphila Umbellata

Acute prostatitis with dysuria and retention, sensation in perineum as if sitting on a ball. Constant pain in region of kidneys; urine scanty, dark, fetid, thick, with copious sediment. Strangury; constant desire to urinate.

Cutting, scalding pain, divided stream; stricture. Urethritis with purulent or profuse mucous discharge. Great quantities of thick, ropy, bloody mucus in urine. Greenish-black urine. Urine scanty; frequently voided, pressing pain before, burning prickling, scalding and smarting during and after, and vesical tenesmus feels better when sitting worse when walking.

Albuminuria; hematuria, from long-lasting gonorrhea; clots of coagulated blood pass with urine. Renal dropsy. Urethral stricture patients who have to apply a lot of strain to pass urine. In spite of efforts, the urine passed is very less in quantity.

One characteristic feature unique for the use of Chimaphila Umbellata is a specific position in which the patient is able to empty the bladder: The position is standing with feet set wide apart and body stooped forward. So, it’s only by standing with feet wide apart and inclining the body in a forward position that a person is able to pass urine.

Conium Maculatum

Urine stops suddenly and does not begin go flow for some moments, intermittent urine flow. Pressure on the bladder, as if the urine were going to issue forthwith violence (with stitches); worse when walking, better when sitting.

At night emission of urine, frequent, and sometimes involuntary. Flow of urine, attended by violent pain. Urine thick, white and turbid.

Urine red. Retention of urine. Difficult emission of urine, which flows only drop by drop. Nocturnal urination, Wetting the bed.

Diabetes, accompanied by great pain. Frequent inclination to emit urine, which is clear and aqueous. Viscid mucus, mixed with the urine, which cannot be passed without great pain. Discharge of pus from the urethra. Emission of blood, sometimes with difficulty of respiration.

The urine stops suddenly and does not begin to flow again for some moments. Incisive pains in the urethra during the emission of urine. Burning sensation and shootings in the urethra especially after the emission of urine.

Camphor

Retention of urine. Strangury, with tenesmus of the neck of the bladder. Urine flowing slowly and in a small stream, as if the urethra were contracted. Urine of a yellowish green, turbid, and of a moldy smell.

Hematuria. Burning pain during the emission of urine. Urine thick and red, with turbid and thick sediment.

Terebinth Female Urethral Stricture-Dr-Qaisar-Ahmed

Pressure in the kidneys when sitting, going off during motion. Sensation of heaviness and pain in region of kidneys. Violent burning drawing pain in region of kidneys.

Nephritis that follows an irritation of the skin. Frequent desire to urinate. Transient movement in region of bladder during a stool as if bladder were suddenly distended and bent forward. Spasms from any attempt to urinate. Suppressed secretion of urine. Strangury, followed by soreness.

Diminished secretion of urine. Secretion of urine considerably augmented. Urine smelling strongly of violets; deposit of mucus, or thick, muddy deposit. Thick, slimy, yellowish white sediment in urine.

Hematuria, blood with very little urine and constant painful dysuria (produced in a child from poisoning. Burning sensation in urethra, felt also when urinating. Urethritis, with painful erections. Stricture of urethra (Burnett, after Rademacher). Urine scanty and bloody. Burning sensation, incisive pains, and spasmodic tenesmus of bladder.

Aconitum Nepalis

Copious diuresis. Difficulty in voiding urine. Dysuria and occasionally retention with hypogastric pain, urethral stricture or urine retention. Constriction and burning pains. Chronic inflammation.

Sarsaparilla

Severe pain after urination. Can pass urine only when standing, it only dribbles down when sitting, genitals; rectum; skin and bones; right lower extremity; right lower side; inner semi lateral head.

In the urinary sphere there are symptoms which are very severe and also peculiar: There is severe pain at end of micturition, just as the urine ceases to flow; inability to urinate freely except in the standing position, when sitting it only dribbles; excessive pain in urethra which may run back into abdomen; passage of gravel which looks like grey sand.

Many cases of renal colic and dysuria in infants with passage of sand have been cured with Sars. Gonorrhea and the effect of suppressed gonorrhea have also been cured with it; herpes preputialis; spermatorrhea, with swollen cords

Arnica Montana

Arnica can help all those cases of Urethral Stricture that are a result of an injury. Injuries by blunt objects, a blow or a fall, sore and bruised pain in urethra while urinating or otherwise, Tenesmus. Spasmodic urine retention with pressure in the bladder. Ineffectual attempts to urinate.

Involuntary emission of urine, bed wetting, and in the day, when running. Frequent micturition of pale urine, urine of a brownish red, with sediment, of a brick color. Bloody urination

Cannabis Ind

Burning or scalding before, during and after urination. Urging and straining but cannot pass a drop, A white glairy mucus may be squeezed from the urethra. Burning and scalding, or stinging pain in the urethra before, during, and after urination. Urging to urinate but cannot pass a drop. Profuse, colorless urine. Has to wait some time before the urine flows. Has to force out the last few drops with the hand. The urine dribbles out after the stream ceases.

Hepar Sulph Urinary Retention - Symptoms, Causes, and Treatment Options

Urination impeded. Obliged to wait before the urine is passed and then it flows slowly, feels as if some urine always remains behind in bladder., Urine slow and turbid, with whitish sediment. The urine is passed slowly, with difficulty; drops out perpendicularly.

Abundant secretion of pale urine, with pressure on the bladder. Acrid, corrosive (corroding the prepuce), or pale and watery, or deep-red, and hot urine. Nocturnal emission of urine. bed wetting.

Blood after urination. Burning in the urethra during micturition. Stitches in the urethra. Redness and inflammation of the orifice of the urethra. Discharge of mucus from the urethra.

Magnesium Mur

Magnesium Mur is the ideal choice when the patient has to really strain to empty the bladder. The urine is passed out with much difficulty after putting in a lot of pressure.

Natrum Mur

Cannot pass urine in the presence or other persons, cannot pass it in a public place, frequent and urgent want to urinate, day and night, sometimes every hour, with copious emission. Involuntary emission of urine, sometimes on coughing, walking, laughing, or sneezing.

Nocturnal emission of urine. Clear urine, with red sediment, resembling brick-dust. Discharge of mucus from urethra during and after urination, causing itching and biting, mucus from urethra sometimes is yellowish, as in gonorrhea. After micturition spasmodic contraction in abdomen; burning, drawing, and cutting in urethra. During micturition stitches in bladder, smarting, burning in urethra; smarting and soreness in vulva

Thiosinaminum

Thiosinaminum belongs to the same chemical group as Urea. The colorless bitter crystals are soluble in water, alcohol, and ether. Thiosinaminum has been used externally and internally in cases of lupus, chronic glandular tumors, and for dissolving scar tissue; and internally for resolving tumors of the uterine appendages.

Thiosinaminum is known for its ability to dissolve scars formed anywhere in the body, can work wonders in Urethral Stricture cases where the cicatricial tissue is formed in urethra due to any cause. The resolving power of this natural remedy in scar cases cannot be matched by any other medicine. The scar will get soft followed by complete disappearance with the use of Thiosinaminum.

Thuja Occidentalis

Urethra swollen inflamed. Urinary stream split and small. Sensation of trickling after urinating. Severe cutting after. Frequent micturition accompanying pains. Desire sudden and urgent but cannot be controlled. Paralysis sphincter vesicae.

Silisia Tera

Urinary tenesmus. Continued want to urinate, with scanty emission (also at night). Strangury. Frequent (involuntary) emission of urine, also at night (with distress from irritable sphincter). Wetting the bed (at night). Reddish sand, or yellow, gritty sediment in the urine. Stricture of urethra.

Belladonna
Black Silhouette Of A Sporty Girl With Ponytail Doing Yoga Poses, Health,  Routine, Body PNG and Vector with Transparent Background for Free Download

Frequent desire to urinate, retention of urine. Difficult discharge of urine (and then discharge of a few drops of bloody urine only). Continual dribbling of urine. When trying to urinate, faeces escape.

Urine copious, pale, and watery, sometimes with profuse perspiration, thirst, increased appetite, diarrhea, and obscuration of sight. In continence and involuntary emission of urine, even in the night and during sleep.

Paralysis of the neck of the bladder.  Strictures of the urethra. Urine turbid, of a yellow color, or clear, the color of gold or citron; or scanty and of a brownish-red color, or the color of blood, or a bright red color. Red, or whitish and thick sediment in the urine. Sensation of motion in the bladder, as of a worm. Nocturnal pressure in the bladder. Shooting, burning pains in the renal region.

Hydrangea Arborescens

Burning in urethra and frequent desire. Urine hard to start. Heavy deposit of mucus. Sharp pain in loins, especially left. Great thirst, with abdominal symptoms and enlarged prostate (Ferr pic; Sabal). Gravelly deposits. Spasmodic stricture. Profuse deposit of white amorphous salts.

P. S: This article is only for doctors having good knowledge about Homeopathy and allopathy, for learning purpose(s).

For proper consultation and treatment, please visit our clinic.

None of above-mentioned medicine(s) is/are the full/complete treatment but just hints for treatment; every patient has his/her own constitutional medicine.

To order medicine by courier, please send your details at WhatsApp– +923119884588

Dr Qaisar Ahmed MD, DHMS.Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS), Abdominal Surgeries, Oncological surgeries, Gastroenterologist, Specialist Homeopathic Medicines.

  Senior research officer at Dnepropetrovsk state medical academy Ukraine.

Location:  Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.

Find more about Dr Sayed Qaisar Ahmed at:

https://www.youtube.com/Dr Qaisar Ahmed

https://www.facebook.com/dr.qaisar.dixecosmetics

https://www.drqaisarahmed.com

59 thoughts on “Urethral Stricture or Urine Retention”
  1. I think that everything typed made a great deal of sense.

    But, consider this, what if you wrote a catchier title?

    I am not suggesting your information is not good., but what
    if you added something to maybe get a person’s attention? I mean Urethral Stricture or Urine Retention – Causes.
    Diagnosis. Treatment is kinda vanilla. You ought to glance at Yahoo’s front page and note
    how they create news titles to grab viewers to open the links.
    You might add a video or a pic or two to grab people excited about what you’ve written. Just my opinion,
    it could make your posts a little livelier.

    1. Once upon a time, there was a girl name “Mona Imler”, she never read or could not read but still like to comment dos not know what and how….
      or maybe she was just a jew…😁😁😁

  2. Wow, wonderful blog format! How long have you ever been running
    a blog for? you made running a blog glance easy. The entire look
    of your website is wonderful, let alone the content material!

  3. I like the helpful info you provide in your articles.
    I will bookmark your weblog and check again here regularly.

    I’m quite certain I’ll learn many new stuff right here!
    Best of luck for the next!

  4. I抦 not that much of a online reader to be honest but your sites really nice, keep it up! I’ll go ahead and bookmark your site to come back later on. Many thanks

  5. Howdy! Someone in my Myspace group shared this website with us so I came to give it a look. I’m definitely enjoying the information. I’m book-marking and will be tweeting this to my followers! Superb blog and amazing design.

  6. I believe that avoiding prepared foods could be the first step for you to lose weight. They may taste beneficial, but highly processed foods possess very little nutritional value, making you take in more just to have enough vigor to get throughout the day. In case you are constantly ingesting these foods, moving over to grain and other complex carbohydrates will make you to have more energy while having less. Good blog post.

  7. I抦 not sure where you’re getting your info, but good topic. I needs to spend some time learning much more or understanding more. Thanks for excellent info I was looking for this info for my mission.

  8. Excellent post. I was checking constantly this blog and I am impressed! Very useful info specially the last part 🙂 I care for such info a lot. I was seeking this certain info for a long time. Thank you and good luck.

  9. Youre so cool! I dont suppose Ive read anything like this before. So good to search out any person with some unique thoughts on this subject. realy thank you for beginning this up. this web site is something that is needed on the web, somebody with a bit of originality. helpful job for bringing something new to the internet!

  10. A further issue is that video games usually are serious as the name indicated with the key focus on studying rather than entertainment. Although, it comes with an entertainment feature to keep your young ones engaged, each one game is often designed to focus on a specific group of skills or curriculum, such as math concepts or science. Thanks for your article.

  11. My partner and I stumbled over here from a different page and thought I should check things out. I like what I see so now i am following you. Look forward to looking into your web page repeatedly.

  12. Generally I don’t read post on blogs, but I would like to say that this write-up very forced me to try and do it! Your writing style has been surprised me. Thanks, quite nice article.

  13. What i don’t understood is actually how you’re not actually much more well-liked than you might be now. You are very intelligent. You realize thus considerably relating to this subject, produced me personally consider it from numerous varied angles. Its like men and women aren’t fascinated unless it is one thing to accomplish with Lady gaga! Your own stuffs nice. Always maintain it up!

  14. I will right away grasp your rss feed as I can’t to find your email subscription hyperlink or e-newsletter service. Do you have any? Please permit me realize in order that I may subscribe. Thanks.

  15. I do not even know how I finished up right here, however I believed this post was great. I do not recognise who you might be however definitely you are going to a famous blogger for those who are not already 😉 Cheers!

  16. Hello There. I found your blog using msn. This is an extremely well written article. I will make sure to bookmark it and return to read more of your useful info. Thanks for the post. I will certainly comeback.

  17. Thanks for the different tips discussed on this web site. I have noticed that many insurance companies offer clients generous discounts if they elect to insure a few cars together. A significant quantity of households include several cars or trucks these days, specially those with more mature teenage kids still dwelling at home, plus the savings for policies can soon mount up. So it will pay to look for a bargain.

  18. Hello There. I discovered your blog the use of msn. That is an extremely neatly written article. I will be sure to bookmark it and return to learn more of your helpful information. Thanks for the post. I抣l certainly return.

  19. Thanks for sharing your ideas right here. The other issue is that any time a problem comes up with a computer motherboard, folks should not go ahead and take risk of repairing this themselves for if it is not done right it can lead to irreparable damage to an entire laptop. It is usually safe just to approach your dealer of a laptop with the repair of motherboard. They will have technicians who may have an experience in dealing with laptop computer motherboard problems and can get the right diagnosis and perform repairs.

  20. Hi there! I could have sworn I’ve been to this website before but after browsing through some of the post I realized it’s new to me. Nonetheless, I’m definitely happy I found it and I’ll be bookmarking and checking back frequently!

  21. Thank you for the good writeup. It in fact was a amusement account it. Look advanced to far added agreeable from you! By the way, how can we communicate?

  22. Wow! This could be one particular of the most useful blogs We have ever arrive across on this subject. Basically Wonderful. I’m also an expert in this topic so I can understand your effort.

  23. Wonderful blog! I found it while searching on Yahoo News. Do you have any suggestions on how to get listed in Yahoo News? I’ve been trying for a while but I never seem to get there! Appreciate it

  24. Wow that was unusual. I just wrote an very long comment but after I clicked submit my comment didn’t appear. Grrrr… well I’m not writing all that over again. Anyways, just wanted to say superb blog!

  25. I have learned some new items from your site about desktops. Another thing I have always believed is that laptop computers have become a specific thing that each house must have for most reasons. They supply you with convenient ways to organize the home, pay bills, go shopping, study, tune in to music and in some cases watch shows. An innovative technique to complete most of these tasks is a computer. These personal computers are mobile ones, small, strong and mobile.

  26. Please let me know if you’re looking for a article writer for your blog. You have some really great articles and I think I would be a good asset. If you ever want to take some of the load off, I’d love to write some articles for your blog in exchange for a link back to mine. Please blast me an e-mail if interested. Cheers!

  27. Heya i抦 for the first time here. I came across this board and I to find It truly helpful & it helped me out a lot. I’m hoping to present one thing again and help others like you helped me.

  28. F*ckin?tremendous things here. I抦 very glad to peer your post. Thank you so much and i am looking forward to contact you. Will you please drop me a e-mail?

  29. Just desire to say your article is as surprising. The clarity in your post is just great and i could assume you are an expert on this subject. Fine with your permission let me to grab your RSS feed to keep updated with forthcoming post. Thanks a million and please continue the rewarding work.

  30. Hello, you used to write wonderful, but the last few posts have been kinda boring?I miss your great writings. Past several posts are just a bit out of track! come on!

  31. I have been surfing on-line greater than three hours lately, but I by no means discovered any attention-grabbing article like yours. It’s pretty price sufficient for me. In my view, if all website owners and bloggers made just right content material as you did, the internet can be much more helpful than ever before.

  32. Thank you for another great article. Where else could anybody get that type of info in such an ideal way of writing? I have a presentation next week, and I am on the look for such information.

  33. Thanks for sharing most of these wonderful blogposts. In addition, the ideal travel plus medical insurance approach can often eradicate those worries that come with journeying abroad. Your medical crisis can shortly become too expensive and that’s likely to quickly place a financial load on the family finances. Setting up in place the perfect travel insurance bundle prior to leaving is worth the time and effort. Thanks a lot

  34. Great write-up, I am regular visitor of one抯 web site, maintain up the excellent operate, and It is going to be a regular visitor for a long time.

  35. Have you ever considered creating an e-book or guest authoring on other sites? I have a blog based on the same topics you discuss and would love to have you share some stories/information. I know my subscribers would appreciate your work. If you’re even remotely interested, feel free to send me an email.

Leave a Reply

Your email address will not be published. Required fields are marked *