Surgeon led Urethrography: Procedure, Pitfalls and Pickups: an 18 month review
Published Date: 01st September 2020
Publication Authors: Floyd Jr MS
Introduction:
Stricture disease remains an uncommon pathology with an incidence of 0.9%. Urethrography remains an important diagnostic tool in evaluating urethral disease as it provides information regarding stricture length and location. Ideally urethrography should be performed by the operating surgeon. In 2018 a urethral centre was established in Whiston Hospital, Merseyside and all urethrography was performed by a single urologist. The purpose of this study was to determine the incidental radiological pick up rate other than stricture disease and morbidity associate with the procedure.
Method(s):
All urethograms performed and reported by a single urologist over 18 months were included. The incidental uroradiological and miscellaneous radiological pick up rate (aside from stricture disease) were recorded in addition to procedural failures, infection rate and procedural "tips & tricks."
Results:
A total of 138 urethrograms were performed by a single urologist over 18 months. No infections were reported post procedure. Other than stricture disease 11 separate uroradiological & uropathological findings were detected (8%), 3 separate non uroradiological findings were detected (2%) and 2 failed procedures occurred (1.5%). Two patients failed to complete the antegrade study only and successfully completed the procedure following the administration of alpha blockers pre urethrography.
Conclusion(s):
Surgeon performed Urethrography is a safe procedure with minimal morbidity. In this series the incidental pick up rate was 8%.
Floyd Jr, M.S.. (2020). Surgeon led Urethrography: Procedure, Pitfalls and Pickups: an 18 month review. European Urology Open Science. 20 (Suppl 1), S2