2. HISTORY
• A 32 Year old male presented to us with
h/o urinary retention 2 –weeks back with
difficult & painful catheterization
• Patient gave h/o multiple sexual partners.
• He was referred to us for Ante-grade
urethrography.
• O/E supra pubic catheter seen.
8. Etiology
• N gonorrhoeae is a gram-negative,
intracellular, aerobic diplococcus; more
specifically, it is a form of diplococcus
known as the gonococcus. N gonorrhoeae
is spread by sexual contact or through
vertical transmission during childbirth
9. RISK FACTORS
• Risk factors for gonorrhea include the following:
• Sexual exposure to an infected partner without barrier protection
(eg, failure to use a condom or condom failure) [13]
• Multiple sex partners
• Male homosexuality
• Low socioeconomic status
• Minority status - Blacks, Hispanics, and Native Americans have the
highest rates in the United States
• History of concurrent or past STDs
• Exchange of sex for drugs or money
• Use of crack cocaine
• Early age of onset of sexual activity
• Pelvic inflammatory disease (PID) - Use of an intrauterine device
(IUD)
12. PROSTATIC URETHRA
• The prostatic urethra is the portion of the
urethra that traverses the prostate. It
originates in the region of the bladder
neck, courses roughly 2.5 cm inferiorly,
and terminates at the membranous urethra
13. MEMBRANOUS URETHRA
• he intermediate part of male urethra
(membranous portion) is the shortest,
least dilatable, and, the narrowest part of
the canal. The membranous portion of the
urethra is completely surrounded by the
fibers of the Sphincter urethrae membrane
14. SPONGY URETHRA
• The spongy urethra is the region that
spans the corpus spongiosum of the
penis. It is divided into the pendulous
urethra and the bulbous (or bulbar)
urethra. The pendulous urethra is invested
in the corpus spongiosum of the penis in
the pendulous portion of the penis. The
urethra is located concentrically within the
corpus spongiosum.