Retrospective analysis was done of 120 patients undergoing urethral balloon dilatation since january 2004 to january 2012. A nuclear medicine thyroid scan uses a radioactive medication radiopharmaceutical to take pictures or images of the thyroid gland. Ask the patient to lie in supine position slightly tilted and legs position as shown in the video. Contrast failed to ascend to membranous urethra but showed blind rounding. The procedure is as follows pain though is well tolerable, since proper preparation has preceded. The anterior urethra extends from the external meatus to the inferior edge. Penile cavernosography can reveal lacerations that are not detected surgically, but is a painful and invasive procedure. Bladder prostate membranous urethra bulbar urethra penile urethra tip of penis these are the 3 projections that are taken during rgu procedure. In this prospective study 40 patients with obstructive lower urinary tract symptoms and suspected to be having stricture urethra were subjected to ascending urethrogram and sonourethrogram. Magnetic resonance urethrography versus conventional retrograde urethrography in the evaluation of urethral stricture. Any information contained in this pdf file is automatically generated from digital. Accurate imaging of urethral strictures is critical for preoperative staging and planning of reconstruction. To compare the efficacy of sono urethrogram and ascending urethrogram in the evaluation of stricture urethra. The urethra is the tube which carries urine from the bladder to outside the body.
It is common in this situation to perform a urethrogram prior to catheter removal. This website uses cookies to improve your experience. Illustrate the normal and postsurgical anatomy of the male urethral system. Introduction urethrography is most commonly performed via the retrograde injection of radiopaque contrast into the urethra to elucidate urethral pathol. Terminology when the urethra is studied with instillation of contrast into the distalanterior urethra it has be. The urethrogram is the oldest radiographic test for assessing urethral stricture disease, and remains the gold standard for diagnosis and staging 1,2.
In this study, a significant association of length with etiology of stricture was observed p procedure used to visualise the urinary bladder using a urinary catheter, radiocontrast is instilled in the bladder, and xray imaging is performed. The barbagli procedure gives the best results for patch. Starting with description of urethrography in brief. A comparative study of ascending urethrogram and sono.
You will be asked to undress and put on a hospital gown. Normal retrograde urethrogram rug, followed by a normal voiding cystourethrogram vcug retrograde urethrogram. If urethral compromise is suspected, then an ascending urethrogram is mandatory. Urethrography refers to the radiographic study of the urethra using iodinated contrast media and is generally carried out in males. These patients underwent different modes of treatment. A clear fluid or xray dye is used to outline the urethra so that it may be examined using xrays. Eventhough sonourethrogram is also associated with similar complications, the incidence is less compared to ascending urethrogram.
Rug and mr urethrogram were performed for all patients prior to the intervention and results were interpreted by one radiologist who has 15 years of experience in doing rug and 10 years of. This will show extravasation at the site of injury. They were followed up clinically with symptomatic assessment, urinary. A urethrogram is an investigation that allows us to visualise the urethra the water pipe that.
Lausd aup pdf this bulletin reflects current laws and regulations of the acceptable use policy established by the board of education board rule as. This slide shows normal radiographic anatomy on a normal oblique ascending urethrogram. To appreciate the different indications for a study 4. Micturating urethrogram showed minimal reflux changes on.
It also applies to department of the army civilian employees in a duty status, on or off a department of defense installation, and to department of the army contractors unless otherwise specified within contract clauses with a responsibility for toxic chemical agent operations or a toxic chemical agent mission. There are too many women and men that are suffering from this horrendous disease. Most often, the urethrogram is performed in a retrograde fashion. Rgu test is a special xray procedure done to study urethra. Among 40 patients who were diagnosed as having stricture urethra by ascending urethrogram, 5 were found to be normal in sono urethrogram. Well assume youre ok with this, but you can optout if you wish. Bedside emergency department procedure where urology not. Pdf on jan 10, 2017, v dola and others published ascending urethrogram and sonourethrogram in evaluation of male anterior urethra find, read and cite all the research you need on researchgate.
Overview a retrograde urethrogram rug is a diagnostic procedure performed most commonly in male patients to diagnose urethral pathology such as trauma to the urethra or urethral stricture. Magnetic resonance urethrography versus conventional. It requires less radiation than pelvic ct, although it is less sensitive and specific than. Some patients are assessed with both techniques, usually the rgu is performed first, followed by the vcug. But it is associated with radiation exposure and underestimates the length of the stricture. Clinical profile, management and treatment outcome in. Bjui nontransecting anastomotic bulbar urethroplasty. The round opaque structure in the distal penis is the inflated foley balloon. Another prerequisite is a standard lateral film to delineate the fistulous tract11. Balloon dilatation for male urethral strictures revisited. Download as pdf print show related cases notify admin.
Sonourethrogram was more proceure and specific in diagnosing urethral stricture disease in our study as compared to ascending urethrogram. The study commences with a scout film to assess bony structures as well as the presence of any calcified urinary tract pathology. A urethrogram is an investigation that allows us to visualise the urethra the water pipe that passes through the penis and leads to the bladder. Pdf on jan 10, 2017, v dola and others published ascending urethrogram and. Iatrogenic short segmental stricture urethra eurorad. Dhayanand 1 1 jss medical college and hospital, mysore, karnataka, india abstract. You will be asked to lie on your side on an xray table.
Imaging of urethral stricture disease pubmed central pmc. Pdf ascending urethrogram and sonourethrogram in evaluation. Urethral stricture guideline american urological association. To analyze the results of balloon dilatation for short segment male urethral strictures. The clinical guideline on male urethral stricture provides a clinical framework for the diagnosis of urethral stricture and includes discussion of diagnosis and initial management, urethroplasty, reconstruction, contracture, stenosis, special circumstances, and postoperative followup care. Pdf a comparative study of ascending urethrogram and. The current gold standard, retrograde urethrography rug, allows for accurate diagnosis, staging, and delineation of urethral strictures, and remains a cornerstone in the management of urethral stricture disease. Retrograde urethrogram is a routine radiologic procedure used to image integrity of urethra. To compare the efficacy of sonourethrogram and ascending urethrogram in the evaluation of stricture urethra. The urethra is the tube that runs from the bladder through the prostate and penis. Overview a retrograde urethrogram rug is a diagnostic procedure performed most commonly in male patients to diagnose urethral pathology. Cpt professional 2019 and cpt quickref app bundle ap887519 481 x 515. An ascending urethrogram was done, which showed good opacification and good distensibility of anterior urethra. Intended mainly for aeronautics students, the text will also be helpful to practicing engineers and scientists who work on problems involving the.
All the statistical calculations were done through spss retrograde urethrogramretrograde cystourethrogram. I am so thankful and thrilled to know that someone had found a solution to such a disturbing problem in this country. A retrograde urethrogram is an xray examination of the urethra for men, which cannot be seen on a normal xray. Following open reconstructive urethral surgery it is standard urological procedure to leave a urethral catheter insitu for a number of weeks whilst the repair heals. This test is done in a hospital radiology unit, operating room, or a providers office. Detail the appropriate technique for performing a retrograde urethrogram rug. Ascending urethrogram has been the gold standard investigation in the evaluation of stricture urethra. The penis is postioned at approximately the 10 oclock position. The false positive rate was less with sonourethrogram as compared to ascending urethrogram. This information sheet relates to the procedure being carried out on a male. Ascending urethrogram leads to radiation exposure of 12 msv, equivalent to 6 months of background radiation and 20 chest xrays 5, 6. Results at 1 year followup all 16 patients were free of obstructive symptoms. Ultrasonographic evaluation of urethral stricture disease. The inclusion criteria for analysis was a short segment less than 1.
Retrograde urethrogram 51610 voiding cystourethrography 51600 suprapubic tube placement open or endoscopic 51010 cystectomy partial 51550 cystectomy radical 51595 bladder diverticulectomy 51525 psoas hitch boari bladder flap 50785. To have an overview of the different aetiologies for urethral strictures 5. Cystography can be used to evaluate bladder cancer, vesicoureteral reflux, bladder polyps, and hydronephrosis. Cpt 2018 express reference coding card, ear, nose, throat 500 x 593. Eventhough sonourethrogram is also associated with similar complications, the incidence is less compared to ascending urethrogrqm.
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