Description

What is Urethroscopy?

Urethroscopy is a medical procedure that involves examining the inside of the urethra and sometimes the bladder using a urethroscope, a thin tube with a light and a camera at the end. This procedure helps diagnose and treat conditions affecting the urethra and lower urinary tract¹.

Types of Urethroscopy

There are two main types of urethroscopes used in the procedure:

1. Flexible Urethroscope: This type is bendable and follows the natural path of the urethra, making it more comfortable for the patient. It is typically used for diagnostic purposes.
2. Rigid Urethroscope: This type is straight and does not bend. It is often used for therapeutic procedures, such as taking biopsies or removing obstructions¹.

Familiarity with Treatment

Urethroscopy is commonly used by urologists to diagnose and manage various conditions, such as:

• Urethral strictures (narrowing of the urethra)
• Urethral polyps or tumors
• Chronic urinary tract infections (UTIs)
• Unexplained urethral pain or bleeding¹

Procedure

1. Preparation: You may be asked to provide a urine sample before the procedure to check for infection. Antibiotics might be given to prevent infection.
2. Anesthesia: Depending on the complexity of the procedure and patient comfort, local, regional, or general anesthesia may be used.
3. Insertion: The urethroscope is inserted through the urethra. The doctor may fill the bladder with a sterile solution to expand it and get a better view.
4. Examination: The doctor examines the urethra and, if necessary, the bladder. Small instruments can be passed through the urethroscope to take tissue samples or perform treatments¹.

Who is it Suitable For?

Urethroscopy is suitable for individuals experiencing:

• Persistent urethral pain or discomfort
• Recurrent urinary tract infections
• Blood in the urine (hematuria)
• Suspected urethral strictures or tumors¹

Who is it Not Suitable For?

Urethroscopy may not be suitable for individuals with:

• Active urinary tract infections
• Severe urethral strictures that prevent the passage of the urethroscope
• Certain bleeding disorders¹

Advantages

• Diagnostic Accuracy: Provides a clear view of the urethra and bladder, aiding in accurate diagnosis.
• Therapeutic Use: Can be used to treat certain conditions, such as removing polyps or obstructions.
• Minimally Invasive: Generally a safe and minimally invasive procedure¹.

Complications

While urethroscopy is generally safe, potential complications include:

• Urinary tract infections
• Bleeding
• Pain or discomfort during urination
• Injury to the urethra or bladder¹

Previous Care

• Medication Review: Inform your doctor about any medications you are taking.
• Fasting: You may need to fast for a few hours before the procedure if general anesthesia is used.
• Bladder Preparation: You might be asked to empty your bladder before the procedure¹.

Aftercare

• Hydration: Drink plenty of water to flush out the bladder.
• Pain Management: Over-the-counter pain relievers can help manage discomfort.
• Monitor for Symptoms: Watch for signs of infection, such as fever or persistent pain, and contact your doctor if they occur.
• Follow-Up: Attend any scheduled follow-up appointments to discuss results and further treatment if necessary¹.