eMedicine Specialties > Radiology > Genitourinary

Urethra, Trauma: Multimedia

Author: J Kevin Smith, MD, PhD, Professor of Abdominal Imaging, Vice Chair for Veterans Affairs, Department of Radiology, University of Alabama at Birmingham; Chief of Service, Department of Radiology, Birmingham Veterans Affairs Medical Center
Coauthor(s): J Scott Schauberger, University of Alabama at Birmingham School of Medicine; Philip Kenney, MD, Professor of Radiology and Chairman, Department of Radiology, University of Arkansas for Medical Sciences
Contributor Information and Disclosures

Updated: Apr 16, 2009

Multimedia

Urethra, trauma. Normal retrograde urethrogram. P...
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Media file 1: Urethra, trauma. Normal retrograde urethrogram. Pericatheter retrograde urethrogram is negative for urethral trauma and shows continuous filling of contrast material through the extent of the urethra and into the bladder without extravasation.
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Urethra, trauma. Normal retrograde urethrogram. P...

Urethra, trauma. Normal retrograde urethrogram. Pericatheter retrograde urethrogram is negative for urethral trauma and shows continuous filling of contrast material through the extent of the urethra and into the bladder without extravasation.

Urethra, trauma. Retrograde urethrogram reveals a...
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Media file 2: Urethra, trauma. Retrograde urethrogram reveals a type I urethral injury with minimal stretching and slight luminal irregularity of the posterior urethra. No extravasation of contrast material is present.
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Urethra, trauma. Retrograde urethrogram reveals a...

Urethra, trauma. Retrograde urethrogram reveals a type I urethral injury with minimal stretching and slight luminal irregularity of the posterior urethra. No extravasation of contrast material is present.

Urethra, trauma. Retrograde urethrogram demonstra...
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Media file 3: Urethra, trauma. Retrograde urethrogram demonstrates a less common type II urethral disruption. Extravasation of contrast material (solid arrow) from the posterior urethra is seen superior to an intact urogenital diaphragm (dashed arrow).
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Urethra, trauma. Retrograde urethrogram demonstra...

Urethra, trauma. Retrograde urethrogram demonstrates a less common type II urethral disruption. Extravasation of contrast material (solid arrow) from the posterior urethra is seen superior to an intact urogenital diaphragm (dashed arrow).

Urethra, trauma. Retrograde urethrogram demonstra...
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Media file 4: Urethra, trauma. Retrograde urethrogram demonstrates a type III urethral injury. Extravasation is located in both the extraperitoneal pelvis and in the perineum (above and below the urogenital diaphragm).
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Urethra, trauma. Retrograde urethrogram demonstra...

Urethra, trauma. Retrograde urethrogram demonstrates a type III urethral injury. Extravasation is located in both the extraperitoneal pelvis and in the perineum (above and below the urogenital diaphragm).

Urethra, trauma. Retrograde urethrogram reveals a...
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Media file 5: Urethra, trauma. Retrograde urethrogram reveals a type III urethral tear at the urogenital diaphragm (solid arrow) and a type IVurethral disruption at the bladder neck (dashed arrow).
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Urethra, trauma. Retrograde urethrogram reveals a...

Urethra, trauma. Retrograde urethrogram reveals a type III urethral tear at the urogenital diaphragm (solid arrow) and a type IVurethral disruption at the bladder neck (dashed arrow).

Urethra, trauma. Straddle injury. Retrograde uret...
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Media file 6: Urethra, trauma. Straddle injury. Retrograde urethrogram shows a type V urethral injury with extravasation of contrast material from the distal bulbous urethra.
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Urethra, trauma. Straddle injury. Retrograde uret...

Urethra, trauma. Straddle injury. Retrograde urethrogram shows a type V urethral injury with extravasation of contrast material from the distal bulbous urethra.

Urethra, trauma. CT scan demonstrates extravasati...
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Media file 7: Urethra, trauma. CT scan demonstrates extravasation of contrast material in the pelvic floor after complete disruption of the bladder base and posterior urethra.
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Urethra, trauma. CT scan demonstrates extravasati...

Urethra, trauma. CT scan demonstrates extravasation of contrast material in the pelvic floor after complete disruption of the bladder base and posterior urethra.

Urethra, trauma. CT scan shows contrast material ...
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Media file 8: Urethra, trauma. CT scan shows contrast material in the perineum (same patient as in Image above). This patient had extensive trauma to the bladder with injury extending to the membranous urethra.
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Urethra, trauma. CT scan shows contrast material ...

Urethra, trauma. CT scan shows contrast material in the perineum (same patient as in Image above). This patient had extensive trauma to the bladder with injury extending to the membranous urethra.

Urethra, trauma. After delayed repair for urethra...
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Media file 9: Urethra, trauma. After delayed repair for urethral trauma, this patient remained incontinent. Retrograde urethrogram confirms lack of constriction at the internal and external urethral sphincters.
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Urethra, trauma. After delayed repair for urethra...

Urethra, trauma. After delayed repair for urethral trauma, this patient remained incontinent. Retrograde urethrogram confirms lack of constriction at the internal and external urethral sphincters.

Urethra, trauma. Retrograde urethrogram reveals a...
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Media file 10: Urethra, trauma. Retrograde urethrogram reveals a tight stricture, a common morbidity of urethral injuries treated with delayed repair.
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Urethra, trauma. Retrograde urethrogram reveals a...

Urethra, trauma. Retrograde urethrogram reveals a tight stricture, a common morbidity of urethral injuries treated with delayed repair.

Urethra, trauma. Cystogram reveals stricture of t...
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Media file 11: Urethra, trauma. Cystogram reveals stricture of the urethra in a patient treated with delayed repair (same patient as in Image above). The cystogram and retrograde urethrogram together help define the length of the stricture.
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Urethra, trauma. Cystogram reveals stricture of t...

Urethra, trauma. Cystogram reveals stricture of the urethra in a patient treated with delayed repair (same patient as in Image above). The cystogram and retrograde urethrogram together help define the length of the stricture.

CT scan demonstrates fluid and a slight presence ...
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Media file 12: CT scan demonstrates fluid and a slight presence of contrast material in the perineum; this is indicative of a urethral tear. Retrograde urethrography should be used to confirm the location of a urethral injury.
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CT scan demonstrates fluid and a slight presence ...

CT scan demonstrates fluid and a slight presence of contrast material in the perineum; this is indicative of a urethral tear. Retrograde urethrography should be used to confirm the location of a urethral injury.

More on Urethra, Trauma

Overview: Urethra, Trauma
Imaging: Urethra, Trauma
Follow-up: Urethra, Trauma
Multimedia: Urethra, Trauma
References
Further Reading
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References

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Keywords

urethral trauma, anterior urethral trauma, posterior urethral trauma, urethral injury, blunt trauma, straddle injury, pelvic fracture, urethral stricture, perineal injury, lower urinary tract, pelvic crush

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Contributor Information and Disclosures

Author

J Kevin Smith, MD, PhD, Professor of Abdominal Imaging, Vice Chair for Veterans Affairs, Department of Radiology, University of Alabama at Birmingham; Chief of Service, Department of Radiology, Birmingham Veterans Affairs Medical Center
J Kevin Smith, MD, PhD is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Roentgen Ray Society, International Society for Magnetic Resonance in Medicine, Radiological Society of North America, and Society of Radiologists in Ultrasound
Disclosure: Nothing to disclose.

Coauthor(s)

J Scott Schauberger, University of Alabama at Birmingham School of Medicine
Disclosure: Nothing to disclose.

Philip Kenney, MD, Professor of Radiology and Chairman, Department of Radiology, University of Arkansas for Medical Sciences
Philip Kenney, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Roentgen Ray Society, Association of University Radiologists, Radiological Society of North America, and Society of Uroradiology
Disclosure: Nothing to disclose.

Medical Editor

John L Haddad, MD, Clinical Associate Professor, Department of Radiology, Weill Medical College of Cornell University; Director of Body MRI, Department of Radiology, Methodist Hospital in Houston
John L Haddad, MD is a member of the following medical societies: American College of Radiology, American Medical Association, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Joshua A Becker, MD, Professor, Department of Radiology, New York University School of Medicine
Joshua A Becker, MD is a member of the following medical societies: Society of Uroradiology
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
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