Urethro

urethrogram

1. CASE STUDY DR. UMAR TAUQIR PGR RADIOLOGY ALNOOR DIAGNOSTICS

2. HISTORY A 32 Year old male presented to us with h/o urinary retention 2 –weeks back with difficult & painful catheterization Patient gave h/o multiple sexual partners. He was referred to us for Ante-grade urethrography . O/E supra pubic catheter seen.

3. Study demonstrates multiple strictures in bulbous and membranous urethera .

4. Study demonstrates multiple strictures and diverticulations in urinary bladder wall possible a sequel of cystitis

5. Study demonstrates prominence of pelvicalyceal system most likely represent a reflux of contrast.

6. DIAGNOSIS Gonococcal urethritis

7. Etiology N gonorrhoeae is a gram-negative, intracellular, aerobic diplococcus ; more specifically, it is a form of diplococcus known as the gonococcus. N gonorrhoeae is spread by sexual contact or through vertical transmission during childbirth

8. RISK FACTORS Risk factors for gonorrhea include the following: Sexual exposure to an infected partner without barrier protection ( eg , failure to use a condom or condom failure) [13] Multiple sex partners Male homosexuality Low socioeconomic status Minority status - Blacks, Hispanics, and Native Americans have the highest rates in the United States History of concurrent or past STDs Exchange of sex for drugs or money Use of crack cocaine Early age of onset of sexual activity Pelvic inflammatory disease (PID) - Use of an intrauterine device (IUD)

9. COMPLICATIONS Urethral strictures Urethritis Prostatitis Penile lymphangitis Para urethral abscess Tubal scaring Infertility in females & males both PID Epididymitis Orchitis

10. PROSTATIC URETHRA The prostatic urethra is the portion of the urethra that traverses the prostate. It originates in the region of the bladder neck, courses roughly 2.5 cm inferiorly, and terminates at the membranous urethra

11. MEMBRANOUS URETHRA he intermediate part of male urethra ( membranous portion ) is the shortest, least dilatable, and , the narrowest part of the canal. The membranous portion of the urethra is completely surrounded by the fibers of the Sphincter urethrae membrane

12. SPONGY URETHRA The spongy urethra is the region that spans the corpus spongiosum of the penis. It is divided into the pendulous urethra and the bulbous (or bulbar) urethra. The pendulous urethra is invested in the corpus spongiosum of the penis in the pendulous portion of the penis. The urethra is located concentrically within the corpus spongiosum .

13. Thank You Quote