How should the urethral bifurcation be handled?

Patient's question:

Symptom Description: I have had a divided urine stream for ten years. What caused it and what should I do? Past Treatment and Effect: I have not been treated. What kind of help do I need: What should I do?

Doctor's answer:

Long-term urinary bifurcation, where urination always results in bifurcation, is a pathological condition. The most common cause is urethritis, where repeated inflammation leads to scar formation in parts of the urethral mucosal tissue over time, causing partial urethral stenosis. This results in urinary bifurcation and difficulty urinating. A typical example is the sequelae of gonococcal urethritis. Of course, during acute urethritis, due to urethral congestion, swelling, and excessive secretions, urinary bifurcation may also occur, requiring timely treatment. Additionally, conditions such as partial urethral stenosis caused by excessive foreskin or phimosis, or small stones obstructing the urethra, can also lead to urinary bifurcation. Furthermore, patients with benign prostatic hyperplasia may sometimes experience urinary bifurcation. All these conditions should be addressed promptly, and after diagnosis, appropriate treatment should be administered.

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