tips and tricks of urethrography

1. Urethrogram interpretation

4. Urethrography
Conventional
Retrograde urethrography
Voiding urethrography
Combined
Sonourethrography
MRI urethrography

5. Indications
• Trauma
• Lower urinary tract symptoms
• Postoperative evaluation
• Fistula
• Urethral lesions

6. Look for
• Type
• Site
• Number
• Length
• Spongiofibrosis
• Associated findings:
Extravasation
Diverticulum
FB

7. Retrograde urethrography
Urethral tip catheter. No other catheters

8. Voiding urethrography
± Suprapubic catheter no urethral catheter
Open bladder neck
Under-filling distal to stricture

10. Combined urethrography
•Suprapubic catheter and urethral tip catheter
•Open bladder neck
•Good-filling distal
to stricture