Urethrography

Urethrography is a special X-ray examination used to assess the urethra. It is performed to detect narrowings (strictures), injuries, or other changes in the urethra. A contrast agent is used to make the structure of the urethra visible on the X-ray images.

When is a urethrography performed?

A urethrography is useful when there is suspicion of a disease or injury of the urethra. These include:

 

- Urethral strictures – in cases of symptoms such as a weakened urine stream or incomplete bladder emptying.

- Urethral injuries – after accidents or surgical procedures.

- Unclear symptoms during urination – when other examinations do not provide clear results.

- Diagnostics before and after operations on the urethra – to monitor the success of the treatment.

How does the investigation proceed?

1. Preparation: The patient lies relaxed in a supine position. Special preparation is usually not required.

2. Introduction of the contrast agent: A thin catheter is carefully inserted into the urethra, through which the contrast agent is slowly injected.

3. X-ray images: Once the contrast agent has distributed in the urethra, several X-ray images are taken to assess the patency and shape of the urethra.

4. Duration of the examination: The entire examination takes only a few minutes and is generally well tolerated.

What are the advantages of urethrography?

- Precise diagnosis of urethral changes.

- Gentle method with minimal radiation exposure.

- Quick execution without elaborate preparation.

- Accurate planning for surgical interventions or therapeutic measures.

Is the examination painful?

Urethrography is generally well tolerated. The use of a lubricant and a thin catheter minimizes possible discomfort. If necessary, a local anesthetic can be used.

Summary

The urethrography is a safe and effective method for examining the urethra. It enables the precise diagnosis of constrictions or injuries and is an important component of urological diagnostics. The examination is quick, minimally invasive, and provides reliable results.

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