Urethroscope

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Urethroscope is a medical instrument used in urology to examine the urethra and to perform certain types of surgery on the urethra. Urethroscopy, the procedure performed with a urethroscope, is a minimally invasive method to diagnose and treat urethral conditions such as strictures, tumors, and infections.

Overview[edit | edit source]

A urethroscope is a thin, tube-like instrument equipped with lighting and a camera at its tip, allowing healthcare professionals to visualize the interior of the urethra. The device may also have channels to pass surgical tools for procedures like biopsies or removal of blockages. Urethroscopy can be performed under local, regional, or general anesthesia depending on the complexity of the procedure and the patient's condition.

Types of Urethroscopes[edit | edit source]

There are two main types of urethroscopes:

  • Rigid Urethroscope: This type has a solid, non-flexible shaft and is used for diagnostic purposes and for performing certain types of surgical interventions. It provides a clear, high-quality image of the urethra.
  • Flexible Urethroscope: This type is bendable and can be maneuvered through the urethra more comfortably, making it suitable for both diagnosis and treatment of conditions in difficult-to-reach areas.

Indications[edit | edit source]

Urethroscopy is indicated for the diagnosis and treatment of various urethral conditions, including:

Procedure[edit | edit source]

The procedure involves the insertion of the urethroscope into the urethra through the urethral meatus (the external opening of the urethra). The healthcare professional then advances the instrument along the urethra, inspecting the urethral lining for abnormalities and performing any necessary interventions.

Risks and Complications[edit | edit source]

While urethroscopy is generally safe, it carries the risk of potential complications, such as:

  • Infection
  • Bleeding
  • Urethral stricture formation
  • Pain or discomfort during and after the procedure

Post-Procedure Care[edit | edit source]

After a urethroscopy, patients may experience mild discomfort, a burning sensation during urination, and light bleeding. Drinking plenty of water and taking prescribed pain medication can help alleviate these symptoms. Patients should follow their healthcare provider's instructions regarding recovery and activity restrictions.

Conclusion[edit | edit source]

Urethroscopy is a valuable diagnostic and therapeutic tool in urology, offering a minimally invasive option for examining and treating urethral conditions. With advancements in urethroscope technology, the procedure has become increasingly effective and comfortable for patients.

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Contributors: Prab R. Tumpati, MD