Can Cystoscopy Detect Urethral Injuries?

Yes. Cystoscopy can help identify certain urethral injuries, including abnormalities, tears, or scar tissue affecting the urethra. However, the appropriate investigation depends on the type and severity of the injury, and cystoscopy is not always the first test performed.

The urethra is the tube that carries urine from the bladder out of the body. Injury to this passage can occur following pelvic trauma, medical procedures, catheter insertion, or other forms of injury.

Symptoms that may raise concern about a urethral injury include:

• Blood at the opening of the urethra

• Blood in the urine

• Difficulty or inability to pass urine

• Pain during urination

• Swelling or bruising around the genital or pelvic area

• A weak urine stream following a previous injury

Cystoscopy allows a urologist to examine the urethral passage directly and identify certain injuries or associated narrowing. Depending on the circumstances, a retrograde urethrogram (RUG) may be needed to assess the location and extent of the injury.

If a significant urethral injury is suspected after pelvic trauma, urgent medical assessment is essential. Repeated attempts to insert a urinary catheter should be avoided unless directed by an appropriate medical professional.

SCI International Hospital

At SCI International Hospital, Dr. Gautam Banga evaluates suspected urethral injuries according to the patient's symptoms, injury history, and clinical findings. Cystoscopy or other appropriate investigations may be recommended to assess the urethra and guide further treatment.