What is ascending Urethrography?

What is ascending Urethrography?

In Ascending Urethrography, your physician will infuse contrast medium into your bladder through a special catheter that will be placed to the outer urethral orifice During this phase, X-rays will be taken at regular time intervals. This procedure may be a little inconvenient.

Why ascending urethrogram is done?

Ascending urethrogram has been the gold standard investigation in the evaluation of stricture urethra. But it is associated with radiation exposure and underestimates the length of the stricture.

How do you know if you have a narrow urethra?

Signs and symptoms of urethral stricture include: Decreased urine stream. Incomplete bladder emptying. Spraying of the urine stream.

What is ascending and descending urethrogram?

(a) Ascending pericatheter urethrogram appears normal. (b) Descending pericatheter urethrogram shows a large extraperitoneal leak (arrow) surrounding the bladder neck and posterior urethra. The catheter, with the balloon still inflated, was advanced farther into the bladder to allow voiding for the descending study.

Is ascending urethrogram painful?

Some initial discomfort or stinging is usual after the test. If you do have an infection, you will feel a burning sensation when you pass urine. If this goes on for more than 36 hours, you will need to see your doctor who may prescribe antibiotics.

What is the normal male urethra?

In men the urethra is 15 to 20 cm long and is divided into three anatomic segments (Fig. 11.1). The prostatic urethra is approximately 3 to 4 cm long and begins at the internal orifice at the bladder neck and extends through the prostate to the prostatic apex.

Can a narrow urethra cause infertility?

If left untreated, a urethral stricture can cause serious problems, including bladder and kidney damage, infections caused by the obstruction of urine flow, and poor ejaculation and infertility in men.

What causes urethra to narrow?

Injury to the urethra or pelvis is the most common cause of urethral stricture. A fall onto your scrotum or perineum, the space between your scrotum and anus, or a fracture in your pelvis can cause inflammation and scarring. In many cases, men hit in the genitals or pelvis develop a urethral stricture years later.

How urethral stricture is diagnosed?

Urethral ultrasound — evaluates the length of the stricture. Pelvic ultrasound — looks for the presence of urine in your bladder after urination. Pelvic magnetic resonance imaging (MRI) — assesses whether your pelvic bone is affecting or is affected by your condition.

How long is a urethrogram?

How long does it take? Usually the whole procedure will take about 30 minutes.

How wide is a normal urethra?

The male urethra is 8 – 9 mm in diameter. The external meatus is 8 mm in size, but normally appears as a vertical slit. The portion of the urethra immediately behind it, in the glans, is 10 — 11 mm in diameter.

How big is a male pee hole?

According to him, the adult male external urethral meatal size on an average is 0.35 inches. as a vertical slit, if converted into the French scale, becomes 29.6 Fr. In our study, the maximum stretchable male external urethral meatus size on an average is 28.49 Fr.

Can the urethra be repaired?

Depending on the exact location and the extent of damage, the urethra will be repaired by either replacing the tissue with tissue from another part of the body, or by taking out the damaged portion of the urethra and then reconnecting the urethral tube.

Can a damaged urethra heal itself?

Rarely, urethral tears heal without surgery. Treatment helps to prevent some complications of urethral injuries.

How do I widen my urethra?

Dilation. Your doctor inserts a tiny wire through the urethra and into the bladder. Progressively larger dilators pass over the wire to gradually increase the size of the urethral opening. This outpatient procedure may be an option for recurrent urethral strictures.

Is urethral stricture serious?

Urethral stricture is scarring in the urethra, the tube that moves urine out of your body. The scarring blocks or narrows your urethra and makes it difficult to urinate. It can cause pain. If left untreated, urethral strictures can lead to kidney stones, infections, and urinary tract complications.

Is ascending Urethrogram painful?

What is Dilation of urethral stricture?

Urethral dilation is a procedure to stretch the sides of the urethra. The urethra is the tube that carries urine from your bladder to outside your body. Sometimes scar tissue narrows the urethra. This is called urethral stricture. When the urethra is narrow, it’s hard for urine to pass through and out of your body.

How is a urethrogram performed?

A urethrogram is a contrast study of the urethra under fluoroscopic control. This is done by placing a catheter into the urethral meatus, expanding the balloon gently to form a seal and running a small volume of contrast into the urethra under image control.