Generally, a retrograde urethrogram (RUG) is performed to image the urethra and pelvic vasculature. However, it can also be used to investigate urethral stricture disease. It can be done with uroflowmetry or urine culture, but should be performed under a qualified urologist.
In most cases, retrograde urethrography is performed when there is clinical suspicion of urethral injury. Performing a urethrogram after a pelvic trauma can help determine the presence or absence of a urethral injury. It can also help the urologist decide on the best treatment for a patient. Performing a retrograde urethrogram before a bladder catheterization can help avoid complications. It can also help the urologist determine if a patient has a recurrent urinary infectious process.
A retrograde urethrogram should be performed under local anaesthetic. Anaesthesia is given by a local anaesthetic gel inserted into the urethral opening. After the gel has been applied, the patient will be positioned on a sterile drape that covers the groin area. The radiologist will then clean the genital area. After a few minutes, x-ray dye is introduced into the bladder. Once it has passed through the bladder, the x-ray dye can be removed. After this, the patient will be positioned on an x-ray table, and the radiologist will take x-rays.
In this study, 144 patients had pericatheter retrograde urethrograms (pcRUGs). All patients had undergone the pericatheter technique before. The technique is minimally invasive and reproducible. Approximately 30% of patients had a urethral stricture on the first pcRUG. However, patients with extravasation had a higher risk of having a stricture than those without extravasation.
A urethral stricture can cause pain, burning, and a poor stream. If you have a retrograde urethrogram performed and find that you have a stricture, you should see a urologist immediately. Urine culture can be performed if a stricture is found. You should also receive a urine culture if you think you may have a urinary tract infection. A retrograde urethrogram can help you decide whether you need to see a urologist, and can determine whether you need to go to the hospital or not.
When performing a retrograde urethrogram, a radiologist should be aware of the main errors that can occur. This knowledge can help reduce errors during postprocessing. It can also help limit the amount of error that can occur during the procedure itself. Some of the errors that can occur during a urethrogram include:
– Contrast injection under pressure. Contrast injection under pressure can cause extravasation and can lead to a contrast reaction. In addition, contrast injection under pressure can lead to intravasation. In order to limit the amount of extravasation, it is important to inject the contrast in a gradual, steady manner with a slight traction. The volume of contrast that should be injected depends on the degree of obstruction. The volume should be enough to visualize the full column of urethra.
– Anaesthesiologist – If you have a patient who has been given an anaesthesiologist, it is important to discuss the risks of having a retrograde urethrogram with the urologist. If you do have a patient who is allergic to contrast, you may need to take extra precautions. For example, you may need to use a penile clamp to avoid leakage of the contrast material.