Urethrography in the male: the clamp method.

Area of Science:

• Urology
• Medical Imaging

Background:

• Retrograde urethrography (RUG) is the standard for diagnosing urethral stenosis and disease.
• Conventional RUG methods can be challenging for visualizing certain urethral segments.

Purpose of the Study:

• To present an optimized clamp method for RUG using a refined device and drip infusion system.
• To evaluate the efficacy and patient comfort of this modified RUG technique.

Main Methods:

• RUG was performed on 42 patients with suspected urethral stenosis.
• A perfected device with a drip infusion system and clamp method was employed.
• Patient pain was quantified using a visual analog scale (VAS).

Main Results:

• The modified RUG technique achieved satisfactory examinations in all patients.
• Posterior urethra visualization was successful in 97.6% of cases; bladder repletion in 95.2%.
• Stenosis was identified in 31 patients, with significantly lower pain scores compared to conventional methods.

Conclusions:

• The clamp method with drip infusion system is an efficient RUG technique that minimizes patient discomfort.
• This approach effectively assesses urethral stenosis, including cases near the meatus, which are difficult with standard methods.