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Позволяет врачу напрямую осмотреть внутреннюю поверхность уретры, выявить патологии и, при необходимости, провести диагностические или терапевтические манипуляции [3](https://lit-clinic.ru/services/uretroskopiya/). \n\nВыделяют: \n* **Диагностическую уретроскопию** — для визуального осмотра слизистой оболочки и подтверждения диагноза [3](https://lit-clinic.ru/services/uretroskopiya/). \n* **Оперативную уретроскопию** — позволяет выполнить лечебные манипуляции: удаление новообразований, расширение стриктур, извлечение инородных тел [3](https://lit-clinic.ru/services/uretroskopiya/).\n\n\n\n## Показания\nУретроскопия назначается при наличии симптомов, указывающих на возможные заболевания уретры или прилегающих структур, и в рамках контроля после лечения [3](https://lit-clinic.ru/services/uretroskopiya/). Некоторые основания для проведения исследования: \n* хронический уретрит или повторяющиеся воспаления мочеиспускательного канала [3](https://lit-clinic.ru/services/uretroskopiya/); \n* болезненные ощущения, жжение, зуд при мочеиспускании [3](https://lit-clinic.ru/services/uretroskopiya/); \n* затруднённое, прерывистое или болезненное мочеиспускание, ощущение неполного опорожнения [3](https://lit-clinic.ru/services/uretroskopiya/); \n* гематурия (примесь крови в моче) или выделения с примесью гноя [3](https://lit-clinic.ru/services/uretroskopiya/); \n* подозрение на стриктуру (сужение) уретры, наличие инородного тела [3](https://lit-clinic.ru/services/uretroskopiya/); \n* мониторинг состояния после хирургического вмешательства на уретре или мочевом пузыре [3](https://lit-clinic.ru/services/uretroskopiya/); \n* оценка аномалий развития мочеиспускательного канала [3](https://lit-clinic.ru/services/uretroskopiya/).\n\n## Противопоказания\nПеред процедурой врач исключает состояния, при которых процедура может быть небезопасной или спровоцировать осложнения [13](https://www.SCZ.ru/hospital/urologiya-khirurgiya/uretroskopiya/). Некоторые противопоказания: \n* острый уретрит, простатит или цистит в фазе активного воспаления [13](https://www.SCZ.ru/hospital/urologiya-khirurgiya/uretroskopiya/); \n* массивная макрогематурия с нарушением визуализации [13](https://www.SCZ.ru/hospital/urologiya-khirurgiya/uretroskopiya/); \n* сужение наружного отверстия уретры, препятствующее введению инструмента [13](https://www.SCZ.ru/hospital/urologiya-khirurgiya/uretroskopiya/); \n* грубые рубцовые изменения с риском перфорации [13](https://www.SCZ.ru/hospital/urologiya-khirurgiya/uretroskopiya/); \n* выраженная боль и невозможность адекватного обезболивания [13](https://www.SCZ.ru/hospital/urologiya-khirurgiya/uretroskopiya/); \n* некорректированные нарушения свёртываемости крови [13](https://www.SCZ.ru/hospital/urologiya-khirurgiya/uretroskopiya/).\n\n## Методика проведения\nПроцедура проводится в амбулаторных условиях [13](https://www.SCZ.ru/hospital/urologiya-khirurgiya/uretroskopiya/). Некоторые этапы уретроскопии: \n* **Гигиеническая подготовка**: обработка наружных половых органов антисептическим раствором для предотвращения инфицирования [3](https://lit-clinic.ru/services/uretroskopiya/). \n* **Местная анестезия**: в большинстве случаев используется обезболивающий гель на основе лидокаина, который вводится в уретру для устранения дискомфорта [3](https://lit-clinic.ru/services/uretroskopiya/). \n* **Введение уретроскопа**: специальный тонкий оптический прибор аккуратно вводится через наружное отверстие уретры [3](https://lit-clinic.ru/services/uretroskopiya/). \n* **Пошаговая визуализация**: врач последовательно осматривает стенки уретры, оценивает слизистую оболочку, фиксирует возможные изменения [3](https://lit-clinic.ru/services/uretroskopiya/). \n* **Дополнительные манипуляции**: при необходимости может быть выполнен забор тканей для биопсии, удаление мелких конкрементов или промывание [3](https://lit-clinic.ru/services/uretroskopiya/). \n* **Завершение**: после осмотра прибор извлекается, уретра повторно обрабатывается антисептиком [3](https://lit-clinic.ru/services/uretroskopiya/).\n\n## Результаты\nПо итогам обследования врач выдаёт заключение, где детально описывает все выявленные изменения [18](https://www.k31.ru/service/urologiya/ureteroscopy.html). 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