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Related Experiment Videos

Retrograde Urethrogram or a Venogram? Be Careful Next Time.

S Sharma1, Mayank Mohan Agarwal2, U K Mete2

  • 1Department of Urology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India 160012 ; Department of Urology, Advanced Urology Center, Nehru Hospital, PGIMER, Level II, B Block, Sector 12, Chandigarh, India 160012.

The Indian Journal of Surgery
|September 24, 2015
PubMed
Summary
This summary is machine-generated.

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Retrograde urethrography can cause serious complications like sepsis due to contrast intravasation. Careful patient screening and dynamic fluoroscopy are crucial to prevent these risks during anterior urethral stricture evaluation.

Area of Science:

  • Urology
  • Radiology
  • Medical Imaging

Background:

  • Retrograde urethrography is a standard imaging technique for diagnosing anterior urethral strictures.
  • The procedure is often performed by residents, potentially increasing the risk of complications.
  • Forcing contrast injection can lead to adverse events such as extravasation or intravasation.

Purpose of the Study:

  • To report two cases of extensive contrast intravasation during retrograde urethrography.
  • To highlight the potential risks associated with contrast injection under pressure.
  • To emphasize preventive measures for improving patient safety during the procedure.

Main Methods:

  • Case report of two patients undergoing retrograde urethrography for anterior urethral stricture.
Keywords:
IntravasationStrictureUrethrogram

Related Experiment Videos

  • Detailed imaging analysis of contrast intravasation, revealing the peno-pelvic venous arcade.
  • Review of patient history, including allergies, asthma, and prior urethral instrumentation.

    • Main Results:

    • Two cases demonstrated extensive intravasation, creating a "venogram" of the peno-pelvic venous system.
    • Potential complications included bacteremia, sepsis, contrast reactions, and stricture worsening.
    • The findings underscore the risks of high-pressure contrast injection.

    Conclusions:

    • Retrograde urethrography requires careful technique to avoid serious complications.
    • Pre-procedure screening for allergies, asthma, and sterile urine is essential.
    • Dynamic fluoroscopy can aid in real-time monitoring and risk mitigation.