On the Urethrogram

Urethrogram - A retrograde urethrogram is a routine radiologic procedure (most typically in males) used to image the integrity of the urethra. Hence a retrograde urethrogram is essential for diagnosis of urethral injury, or urethral stricture.

There was this hot hunk who had hematuria after being rammed by a bike and we were worried about urethral injury, so we put in catheter into the bladder suprapubic-cally. And we sent him down for this urethrogram.

He came back with this.

I have no freaking idea what am I looking at.

But of course, it was supposed to be a series of scans. When the contrast was injected, you would be able to see the patency of the urethra and the bladder. But this... this is just the one of the contrast media in the bladder... and it wasn't flowing out...

So I gave the radiologist a call.

Apparently there was some sort of urethral stricture, some injury or something. No idea what from however.

So we called the urologist. She saw, and said, she had no idea how to manage as well.

So the images were brought to be discussed in the X-ray meeting...