Nursing Intervention for Urethral Stricture

Nursing Intervention for Urethral Stricture

Urethral stricture
Urethral stricture is an abnormal narrowing of the tube that carries urine out of the body from the bladder (urethra).

Causes
Urethral stricture may be caused by inflammation or scar tissue from surgery, disease, or injury. It may also be caused by pressure from an enlarging tumor near the urethra, although this is rare.

Other risks include:
  • A history of sexually transmitted disease (STD)
  • Any instrument inserted into the urethra (such as a catheter or cystoscope)
  • Benign prostatic hyperplasia (BPH)
  • Injury or trauma to the pelvic area
  • Repeated episodes of urethritis
Strictures that are present at birth (congenital) are rare. Strictures in women are also rare.


Nursing Diagnosis for Urethral Stricture

Acute Pain
related to surgical incisions sitostomi suprapubic

Goal : pain reduced / lost

Expected outcomes :
  • Reported a decrease in pain
  • Facial expressions and body position looks relaxed

Nursing Intervention:
  • Assess the nature, intensity, location, duration and trigger factors and pain relievers.
  • Assess nonverbal signs of pain (restlessness, furrowed brow, clenched jaw, increased blood pressure)
  • Give the choice of action a sense of comfort.
  • Help the patient find a comfortable position.
  • Teach relaxation techniques and aids guidance imagination.
  • Document and observation of the desired drug effects and side effects.
  • Intermittently irrigated catheter urethral / suprapubic appropriate advice, use of sterile normal saline and sterile syringes.
  • Enter the liquid slowly, not too strong.
  • Continue irrigation until the urine is clear there is no clot.
  • If the measures fail to reduce pain, consult with your doctor to change medication dosages or intervals.