It is used to evaluate the urethra for abnormalities that could be contributing to incontinence. It is also useful in women that have painful urination, or recurrent bladder infections. The opening to the urethra is prepped with a gel that has a numbing effect. After the urethra is numb, a small scope is inserted into the urethra. The doctor is able to see the lining of the urethra and check the condition of the tissues.
Careful evaluation is done for any evidence of infection, or infected glands.
The neck of the bladder can frequently be seen to open up during this activity. This helps to confirm the diagnosis of stress incontinence. Most patients have minimal discomfort with this procedure and can go home immediately afterward. A mild antibiotic may be given for a few days after to prevent infection. Urethroscopy is only useful to evaluate conditions in the urethra.