Retrograde urethrogram

Retrograde urethrogram. This is commonly performed when there is clinical suspicion of a urethral injury (for example, complex pelvic fractures especially when there is haematuria or blood is seen at the urethral orifice), and should be carried out prior to attempted bladder catheterization in these cases. In the case shown here, the patient had multiple pelvic fractures (some of which are indicated by the white arrows). A small calibre Foley catheter (yellow arrow) was inserted into the distal aspect of the penile urethra and contrast injected under fluoroscopic screening, outlining a normal urethra in this case, with no evidence of a tear. This examination can also be performed when there is suspicion of a urethral stricture.