Retrograde Urethrogram
| Retrograde urethrogram | |
|---|---|
Urethrogram showing an urethra stricture in a man. | |
| ICD-9 | 87.76 |
| OPS-301 code | 3-13g |
A retrograde urethrogram is a routine radiologic procedure (most typically in males) used to image the integrity of the urethra.Hence a retrograde urethrogram is essential for diagnosis of urethral injury, or urethral stricture.[1]
Jan 23, 2018 A retrograde pyelogram is a procedure that gives your doctor a better view of your urinary system. Learn about the risks and what you need to do to prepare. A urethrogram is usually carried out in a hospital radiology department or radiology practice that has an X-ray room where there is fluoroscopy available. Fluoroscopy equipment is where the X-ray images can be watched on a TV screen as the examination is being carried out. It also stores the images as a record of the procedure.
Process[edit]
The procedure involves the insertion of a Foley catheter into the distal urethra and minimally inflating it. This is followed by instillation of 30mL of water-soluble contrast and a plain radiograph is obtained; leakage of the contrast suggests urethral injury (usually secondary to pelvic trauma) and is an indication for surgical intervention.
It is used when there is suspicion of urethral trauma, such as a history of trauma to the area followed by pain, inability to void urine, or the presence of blood at the urethral meatus, a scrotal hematoma, or free-floating prostate on rectal examination.
Graphics: 128 Mb. Memory: 512 Mb. Processor: 1.5 GHz. Storage: 3 GBDLC's. Swat 4.
If a urethral injury is suspected, a retrograde urethrogram should be performed before attempting to place a Foley catheter into the bladder. If there is a urethral disruption, a suprapubic catheter should be placed.
See also[edit]
- Retrograde ureteral, an intervention used to remove kidney stones
References[edit]
- ^El-Ghar MA, Osman Y, Elbaz E, Refiae H, El-Diasty T (July 2009). 'MR urethrogram versus combined retrograde urethrogram and sonourethrography in diagnosis of urethral stricture'. Eur J Radiol. 74 (3): e193–e198. doi:10.1016/j.ejrad.2009.06.008. PMID19608363.
External links[edit]
