II. Indications: Suspected Urethral Trauma (perform prior to Foley Catheter placement)

  1. Perineal or scrotal hematoma
  2. Blood at uretheal meatus
  3. High riding Prostate
  4. Pelvic Fracture or Pubic Symphysis Diastasis suspected
  5. Inability to void

III. Technique: Bedside Emergency Department Procedure (where urology not available)

  1. Insert 8 Fr Foley Catheter until balloon is inside the distal Urethra (1-2 cm)
    1. Gently inflate balloon with 1-2 cm saline or air (just enough to secure in place)
    2. Catheter-tip syringe may be used as an alternative to 8 Fr
      1. Secure by gently compressing glans (with hand) around catheter tip
  2. Hold the penis gently outstretched
  3. Slowly inject contrast via catheter
    1. Water-soluble contrast (e.g. omnipaque diluted to 10% with Normal Saline)
  4. Image with XRay or Fluoroscopy
    1. Perform imaging while injecting last 10 ml of contrast
    2. Obtain images in 2 opposing views (i.e. anteroposterior and lateral view)

IV. References

  1. Herbert and Inaba in Herbert (2014) EM:Rap 14(3): 5-6
  2. Davis in Roberts (2014) Clinical Procedures in Emergency Medicine, 6th Ed, Saunders Elsevier, p. 1113-54

Images: Related links to external sites (from Bing)

Related Studies (from Trip Database) Open in New Window

Ontology: Retrograde urethrogram (C0412159)

Concepts Diagnostic Procedure (T060)
SnomedCT 302799008
Dutch regrograad urethrogram
French Urétrographie par voie rétrograde
German retrogrades Urethrogramm
Italian Uretrografia retrograda
Portuguese Uretrografia retrógrada
Spanish Uretrograma retrógrado, uretrografía ascendente, uretrografía retrógrada (procedimiento), uretrografía retrógrada
Japanese ギャッコウセイニョウドウゾウエイ, 逆行性尿道造影
Czech Retrográdní uretrogram
Hungarian Retrográd urethrogram
English Ascending urethrogram, Retrograde urethrogram, Retrograde urethrogram (procedure)