Urethrocystography in the Male

Abstract

SUMMARY Cystourethrography is valuable in the investigation of the lower urinary tract, and we have been using it in the study of the pathology of the urethra. An anatomo–radiological classification of the urethral segments is proposed, and some conditions are discussed with attention to the type and distribution of strictures. Fistulas follow intravasation of urine into the cavernous spaces and veins during micturition with subsequent thrombophlebitis and abscess formation secondary to pyasmic emboli in the penile venous plexus. The urethrovesical injection stream effect as a sign of bladder neck contraction is described.

Initial Management of Acute Urethral Injuries

“…Many authors advocate the use of retrograde urethrography (Fowler et al, 1986) but nearly all admit that it has its limitations (McCrea, 1940;Culp, 1942;Weensetal., 1946;Hollandetal., 1966;Rieser, 1967 ;Veiga-Pires and Elebute, 1967).…”