Can Cystoscopy Detect Urethral Stricture?

Yes. Cystoscopy can help identify a urethral stricture, which is a narrowing of the urethra caused by scar tissue. It allows the urologist to examine the urethral passage and assess the narrowing, although additional tests may be needed to determine its full length and severity.

A urethral stricture develops when scar tissue narrows the urethra, making it more difficult for urine to pass from the bladder out of the body.

Symptoms that may prompt an evaluation include:

• Weak or reduced urine stream

• Difficulty starting urination

• A spraying or split urine stream

• Straining while passing urine

• A feeling that the bladder has not emptied completely

• Recurrent urinary tract infections

• Urinary retention in more severe cases

During cystoscopy, a urologist passes a thin camera-equipped instrument through the urethra to examine the passage. If a narrowing is present, the doctor can assess its appearance and determine whether further evaluation is needed.

However, cystoscopy alone may not establish the complete length of a stricture. A retrograde urethrogram (RUG) or other appropriate investigation may be recommended to map the narrowing and help plan treatment.

Treatment depends on the location, length, severity, and recurrence of the stricture. Options may include selected endoscopic procedures or reconstructive surgery.

SCI International Hospital

At SCI International Hospital, Dr. Gautam Banga evaluates patients with weak urine flow, difficulty urinating, or suspected urethral narrowing. When appropriate, cystoscopy and complementary investigations help establish the diagnosis and guide an individualised treatment plan.