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Persistent hesitancy and decreased force of stream suggest urethral stricture, which is often a result of urethral trauma following catheterization, endoscopy, or prostatic surgery. Rarely, a history of gonococcal urethritis is noted Direct visualization confirms the diagnosis, excludes urethral cancer, and avoids creating false channels by blind passage of a urethral sound. Repeated dilatation or [...]

Nocturia is reported in 2h of women and men > 65 yr of age who are not taking drugs; for those who take drugs or have more than three chronic diseases, the incidence is > 80%. Nocturia contributes to sleep disturbance, a problem for > 20% of elderly persons (see Ch. 11). Many older patients [...]