. There are congenital and acquired. The etiological factor of acquired strictures may be inflammation or trauma. The inflammatory constriction of the urethra is the result of a gonorrheal urethritis, tuberculosis or syphilis of the urethra. This type of strictures is characterized by the fact that they are multiple and are located, as a rule, in the anterior part of the urethra. Traumatic contractions develop rapidly - in the coming weeks after injury and are localized, as a rule, in the back of the urethra. Congenital narrowing of the urethra is more often in the area of the external opening or in the bulbozny part of the urethra. Due to difficult urine flow, the urethra behind the stricture expands. Stasis of urine creates favorable conditions for the development of infection - cystitis and pyelonephritis.
Symptoms and course:The first sign - a violation of urination. The stream of urine becomes thin, emptying of the bladder is frequent, but difficult, there is a feeling of incomplete emptying. Swelling of the mucous membranes can cause acute urinary retention.
Treatment:It may be conservative (bougienage) or surgical. Tsidovagppnt krepitiruyushchy. Inflammation of the tendon sheaths in the re-
As a result of excessive strain on the tendons - permanent or short-term. There is a slight pain along the tendon, the movement is sharply painful, accompanied by a feeling of crunch or squeak. The general condition of the patient does not suffer. Treatment is conservative - at first, rest (application of a tire, gypsum), heat and physiotherapy procedures, after the subsidence of acute inflammatory events - restoration of the mobility of the fingers.