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Urethral stenosis in women is significantly less common than in men, but when it does occur, it can cause substantial symptoms and impact the quality of life. This condition is characterized by a narrowing of the urethra, which complicates the normal expulsion of urine. It can cause various symptoms, including a weak urine stream, a sensation of incomplete bladder emptying, frequent urination, and in some cases, pain during urination. In women, stenosis can result from various factors, such as trauma during childbirth, surgical procedures, incontinence or pelvic organ prolapse, and injuries or infections.


The diagnosis of this condition begins with a careful examination and discussion of symptoms with a doctor. Diagnostic procedures may include urethroscopy, where a thin camera is used for a direct inspection of the interior of the urethra, or measuring the speed and volume of urine flow.


Treatment options depend on the severity of the narrowing and the cause. In some cases, conservative methods such as catheterization or medication therapy may be sufficient to alleviate symptoms. However, in situations where these approaches are ineffective, surgical intervention may be necessary.
Surgical treatment may include urethral dilation, where the narrowing is gently expanded to allow for better urine flow, or more precise procedures such as urethrotomy. In more complex or recurrent stenoses, reconstructive urethral surgery may be considered. The decision on the most suitable treatment should be the result of a discussion between the patient and the specialist, taking into account individual circumstances, symptoms, and treatment goals.