Female urethral strictures are rare. Guidelines on how to diagnose and treat these strictures are lacking. At present, only expert opinion is available to guide clinical practice. Once the diagnosis is suspected based on obstructive voiding symptoms and uroflowmetry, most clinicians will use in addition video-urodynamics including urethrography , urethral calibration and cystourethroscopy for confirmation of the diagnosis.
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Urethral intercourse or coitus per urethram is sexual penetration of the female urethra by an object such as a penis or a finger. It is not the same thing as urethral sounding , the act of inserting a specialized medical tool into the urethra as a form of sexual or fetishistic activity. The untrained insertion of foreign bodies into the urethra carries a significant risk that subsequent medical attention may be required. Documented cases of urethral intercourse appear to have occurred between heterosexual couples; a survey of the global medical literature available in reported accounts of thirteen separate cases.