A. Urinary retention.
B. Double voiding.
D. All of the above.
The condition shown in the picture above represents urethral stricture.
The urethral stricture causes trouble when it restricts the flow of urine out of the bladder. As the urethral stricture obstructs, it blocks the urinary channel. The bladder then has to work harder to overcome this increased resistance to urine flow. If the blockage is severe enough, the bladder may be unable to empty, leading to a condition called urinary retention. The onset of symptoms of urethral stricture can be very gradual. Symptoms may include difficulty starting the flow of urine, decreased force of urination, and dribbling at the end of urination. There may be incomplete emptying of the bladder which produces a sense of still feeling full even after attempting to pass the urine. Incomplete bladder emptying also leads to “double voiding” in which a man passes the urine and then has to urinate again within a period of 10 to 20 minutes. Other symptoms include the need to pass urine more frequently than normal and the development of a sense of urgency, which is the need to pass the urine as soon as the urge is felt. Urethral strictures may cause hematuria (blood in the urine), urinary tract infection, or there may be some blood spotting from the tip of the penis.