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Afrimedic Journal

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Synchronous Retrograde and Micturating Cysto Urethrography A Modification

OC Okpala, C Okafor, ME Aronu

Abstract


Background: Retrograde Urethrography (RUG) combined with Micturating cystourethrography (MCUG) is imaging method of choice for studying the urethra and its 1-9 abnormalities . Though there are many modern imaging modalities that are also useful but these are not available in most developing countries. Even the standard method of doing the conventional Urethrography using penile clamp cannot be done in our centre because this is not also available. This led us to this study to help us maximize results by improvising on the available technique.
Objective: To demonstrate a local modification of method for synchronous/ combined RUG and MCUG.
Method: This is a method in which Foley’s catheter, amputated needle cap, and syringe are used to inject contrast into the lower urinary tract to help define the calibre and outline of these structures during the combined RUG and MCUG.
Result: This combined technique demonstrates clearly, the anatomy of the lower urinary tract - urethra and bladder. It shows the length of stricture, where this exists.
Conclusion: This method of synchronous RUG and MCUG is cheap, available and readily transferable and helps to demonstrate various pathologies of the lower urinary tract. This is recommended in places where materials for other methods of urethrography are deficient.

Key words: Retrograde urethrography, micturating cysto
urethrography, modification



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