Retrograde pericatheter urethrogram for the post-operative evaluation of the urethra. 2009

B O Balogun, and S O Ikuerowo, and T E Akintomide, and J O Esho
Department of Radiology, Lagos State University College of Medicine and Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria. babajide_balogun@yahoo.com

Pericatheter urethrogram (PUG) has been found to be a useful assessment tool after endoscopic urethral realignment or open urethroplasty prior to removal of the urethral catheter. Very little is known in the English literatures of the procedure of PUG in the evaluation of the urethra post-operatively. We aim to describe our technique of PUG and its usefulness in the evaluation of the urethra. We reviewed 22 patients who underwent PUG after endoscopic urethral realignment or urethroplasty over an 18 month period in our institution. The indications, procedure and success of PUG were noted. The radiological findings were also documented. The mean age of the patient was 31.9 years. Seventeen (77.3%) and 5 (22.7%) patients had PUG at least 3 weeks after endoscopic realignment of the urethra and urethroplasty for urethral strictures respectively. PUG was successful in all the patients and no complication arising from the procedure was recorded. The radiographs showed satisfactory urethral healing in 15 (68.2%), urethral stenosis in 2 (9.1%), contrast media extravasations in 8 (36.4%). We concluded that PUG allows for adequate urethral assessment and healing before the indwelling catheter is removed.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009549 Nigeria A republic in western Africa, south of NIGER between BENIN and CAMEROON. Its capital is Abuja. Federal Republic of Nigeria
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005119 Extravasation of Diagnostic and Therapeutic Materials The escape of diagnostic or therapeutic material from the vessel into which it is introduced into the surrounding tissue or body cavity. Extravasation of Contrast Media,Extravasation of Diagnostic, Therapeutic Materials,Contrast Media Extravasation
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

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