Can Cystoscopy Detect a Fistula in the Urinary Tract?

Yes. Cystoscopy can help identify certain urinary fistulas by allowing a urologist to examine the inside of the bladder and urethra. However, additional imaging or specialised tests may be required to confirm the fistula's location and extent.

A urinary fistula is an abnormal connection between the urinary tract and another organ or the skin. Depending on its location, it may develop after surgery, injury, radiation treatment, inflammation, or certain medical conditions.

Symptoms can vary according to the type of fistula and may include:

• Recurrent urinary tract infections

• Persistent urinary leakage

• Air passing in the urine

• Unusual discharge or leakage from an abnormal opening

• Irritation or discomfort associated with urinary symptoms

During cystoscopy, the urologist examines the bladder lining and urethra for an abnormal opening or other findings that may suggest a fistula.

However, not every urinary fistula can be identified through cystoscopy alone. Depending on the suspected location, additional tests may include CT imaging, contrast studies, or other specialised investigations.

Treatment depends on the fistula's location, size, underlying cause, and the patient's overall condition. Some cases require surgical repair, while management of the underlying condition may also be necessary.

SCI International Hospital

At SCI International Hospital, Dr. Gautam Banga evaluates persistent urinary leakage, recurrent infections, and other symptoms that may indicate a structural abnormality of the urinary tract. Cystoscopy and appropriate complementary investigations may be recommended to establish the diagnosis and plan treatment.