The following article contains the case study of a 78 year old man. He lives in Kasambara, is a farmer and presented at Rhine Valley Hospital on January 2 with urethral problems.

The man had difficulty urinating and complained of genital discharge. As a history, he stated that he had learned three months earlier that he was suffering from a sexually transmitted disease. An ultrasound examination showed that the bladder wall was thickened. In the laboratory, urinalysis showed that the number of leukocytes and protozoa was greatly increased and pus had formed. The disease had not been adequately treated

After admission to Rhine Valley Hospital, the patient was treated with antibiotics and analgesics. Further, he was advised to undergo surgery In the meantime, the catheter was to be changed every two weeks.

The doctor diagnosed a stricture. This is scarring in or around the urethra that narrows or blocks the passageway through which urine flows from the bladder. The narrowing results from inflammation, infection, or injury and is more common in women. In men, scarring occurs somewhere between the bladder and the tip of the penis.

The greatest risk of stricture is age. For prevention, infection should be treated early to avoid urethral stenosis. By means of screening, the urethral structure is examined and treatment is initiated. This prevents complications, wei

Hydronephrosis, erectile dysfunction, urinary tract infection, prostatitis, urinary retention and renal failure avoided.