尿道造影
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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/08/23 21:47:53」(JST)
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| Retrograde urethrogram |
| Intervention |
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Urethrogram showing an urethra stricture in a man.
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| ICD-9: |
87.76 |
| OPS-301 code: |
3-13g |
A retrograde urethrogram is a routine radiologic procedure (most typically in males) used to image the integrity of the urethra. Hence a retrograde urethrogram is essential for diagnosis of urethral injury, or urethral stricture.[1]
Contents
- 1 Process
- 2 See also
- 3 References
- 4 External links
Process
The procedure involves the insertion of a Foley catheter into the distal urethra and minimally inflating it. This is followed by instillation of 30mL of water soluble contrast and a plain radiograph is obtained; leakage of the contrast suggests urethral injury (usually secondary to pelvic trauma) and is an indication for surgical intervention.
It is used when there is suspicion of urethral trauma, such as a history of trauma to the area followed by pain, inability to void urine, or the presence of blood at the urethral meatus, a scrotal hematoma, or free-floating prostate on rectal examination.
If a urethral injury is suspected, a retrograde urethrogram should be performed before attempting to place a Foley catheter into the bladder. If there is a urethral disruption, a suprapubic catheter should be placed.
See also
- Retrograde ureteral, an intervention used to remove kidney stones
References
- ^ El-Ghar MA, Osman Y, Elbaz E, Refiae H, El-Diasty T (July 2009). "MR urethrogram versus combined retrograde urethrogram and sonourethrography in diagnosis of urethral stricture". Eur J Radiol 74 (3): e193–e198. doi:10.1016/j.ejrad.2009.06.008. PMID 19608363.
External links
- New England Journal of Medicine procedure videos: Male Urethral catheterization
- Ohio State University Patient Education Materials: Retrograde Urethrogram
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Urologic surgical and other procedures (ICD-9-CM V3 55–59+89.2, ICD-10-PCS 0T)
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| Kidney |
- Nephrostomy (Percutaneous nephrostomy)
- Nephrotomy
- Endoscopy
- Renal biopsy
- Nephrectomy
- Kidney transplantation
- Nephropexy
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| Ureter |
- Ureterostomy
- Urinary diversion
- Ureterosigmoidostomy
- Ureterolysis
- Ureteroscopy
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| Urinary bladder |
- Cystectomy
- Suprapubic cystostomy
- Cystoscopy
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| Urethra |
- Urethropexy
- Urethrotomy
- Urethral sounding
- Urethroplasty
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| General |
| Medical imaging: |
- Pyelogram (Intravenous pyelogram, Retrograde pyelogram)
- Kidneys, ureters, and bladder x-ray
- Radioisotope renography
- Cystography
- Retrograde urethrogram
- Voiding cystourethrogram
- Urodynamic testing
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| other: |
- Urinary catheterization
- Dialysis
- Lithotripsy:
- Extracorporeal shock wave lithotripsy
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noco/acba/cong/tumr, sysi/epon, urte
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proc/itvp, drug (G4B), blte, urte
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- Medical testing : Medical imaging
- Radiology
- (ICD-9-CM V3 87–88, ICD-10-PCS B, CPT 70010–79999)
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X-ray/
medical radiography/
Industrial radiography |
| 2D |
| Medical: |
- Pneumoencephalography
- Dental radiography
- Sialography
- Myelography
- CXR
- AXR
- KUB
- DXA/DXR
- Upper gastrointestinal series/Small-bowel follow-through/Lower gastrointestinal series
- Cholangiography/Cholecystography
- Mammography
- Pyelogram
- Cystography
- Arthrogram
- Hysterosalpingography
- Skeletal survey
- Angiography
- Angiocardiography
- Aortography
- Venography
- Lymphogram
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| Industrial: |
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| 3D / XCT |
| Medical: |
- CT pulmonary angiogram
- Computed tomography of the heart
- Computed tomography of the abdomen and pelvis
- CT angiography
- Computed tomography of the head
- Quantitative computed tomography
- Spiral computed tomography
- High resolution CT
- Whole body imaging
- Electron beam tomography
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| Industrial: |
- Industrial computed tomography
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| Other |
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| MRI |
- Magnetic resonance imaging of the brain
- MR neurography
- Cardiac MRI/Cardiac MRI perfusion
- MR angiography
- MR cholangiopancreatography
- Breast MRI
- Functional MRI
- Diffusion MRI
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| Ultrasound |
- Echocardiography
- Doppler echocardiography
- Intravascular
- Gynecologic
- Obstetric
- Echoencephalography
- Transcranial Doppler
- Abdominal ultrasonography
- Transrectal
- Breast ultrasound
- Transscrotal ultrasound
- Carotid ultrasonography
- Contrast-enhanced
- 3D ultrasound
- Endoscopic ultrasound
- Emergency ultrasound
- FAST
- Pre-hospital ultrasound
- Duplex
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| Radionuclide |
| 2D / scintigraphy |
- Cholescintigraphy
- Scintimammography
- Ventilation/perfusion scan
- Radionuclide ventriculography
- Radionuclide angiography
- Radioisotope renography
- Sestamibi parathyroid scintigraphy
- Radioactive iodine uptake test
- Bone scintigraphy
- Immunoscintigraphy
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| full body: |
- Octreotide scan
- Gallium 67 scan
- Indium-111 WBC scan
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| 3D / ECT |
- SPECT
- gamma ray: Myocardial perfusion imaging
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| PET (positron): |
- Brain PET
- Cardiac PET
- PET mammography
- PET-CT
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| Optical laser |
- Optical tomography
- Optical coherence tomography
- Confocal microscopy
- Endomicroscopy
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| Thermography |
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UpToDate Contents
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English Journal
- Novel pericatheter retrograde urethrogram technique is a viable method for postoperative urethroplasty imaging.
- Sussman RD1, Hill FC2, Koch GE3, Patel V3, Venkatesan K4.
- International urology and nephrology.Int Urol Nephrol.2017 Sep 14. doi: 10.1007/s11255-017-1701-0. [Epub ahead of print]
- PMID 28913706
- Do transurethral treatments increase the complexity of urethral strictures?
- Horiguchi A1, Shinchi M2, Masunaga A2, Ito K2, Asano T2, Azuma R3.
- The Journal of urology.J Urol.2017 Aug 30. pii: S0022-5347(17)77417-4. doi: 10.1016/j.juro.2017.08.100. [Epub ahead of print]
- PMID 28866464
- Sirolimus-eluting Biodegradable Poly-l-Lactic Acid Stent to Suppress Granulation Tissue Formation in the Rat Urethra.
- Kim KY1, Park JH1, Kim DH1, Tsauo J1, Kim MT1, Son WC1, Kang SG1, Kim DH1, Song HY1.
- Radiology.Radiology.2017 Aug 8:170414. doi: 10.1148/radiol.2017170414. [Epub ahead of print]
- PMID 28787263
Japanese Journal
- Common urogenital sinusと診断した犬の1例
- 渡邊 俊文,鈴木 健太,三品 美夏
- 日本獣医師会雑誌 68(5), 306-310, 2015
- 6カ月齢，未避妊雌，体重1.46kgのパピヨンが持続性尿失禁を主訴に麻布大学附属動物病院を受診した．初診時の尿検査，経膣尿道造影検査より細菌性膀胱炎，尿道括約筋収縮不全，膣・子宮欠損症が疑われた．尿失禁に対し内科的治療を行ったものの，症状の改善が認められなかったため，外陰部からの内視鏡検査と試験開腹を実施した．左右子宮角は膀胱頸部背側に開口し，左右子宮角と合流した尿道は単一の管腔構造として外陰部に …
- NAID 130005078182
- 尿道狭窄症に対する経尿道的内尿道切開術の有効性の検討
- 磯野 誠,堀口 明男,田崎 新資 [他],黒田 健司,佐藤 全伯,朝隈 純一,瀬口 健至,伊藤 敬一,早川 正道,淺野 友彦
- 日本泌尿器科學會雜誌 103(6), 691-696, 2012-11-20
- (目的) 尿道狭窄症に対する内尿道切開術の有効性について検討した． (対象と方法) 当院で内尿道切開を行った尿道狭窄症19例を対象とした．狭窄部位は球部尿道17例，膜様部尿道1例，振子部尿道1例であった．狭窄長は1 cm未満13例，1～2 cmが2例，2 cm以上が4例で，狭窄原因は騎乗型損傷7例，経尿道的手術後7例，骨盤骨折1例，不明4例であった．全例とも手術はガイドワイヤーを併用した，cold …
- NAID 10031126330
Related Links
- Urethrography refers to the radiographic study of the urethra using iodinated contrast media and is generally carried out in males. TerminologyWhen the urethra is studied with instillation of contrast into the distal/anterior urethra it has ...
- Retrograde Urethrography Definition Retrograde urethrography involves the use of x-ray pictures to provide visualization of structural problems or injuries to the urethra. Purpose Retrograde urethrography is used, in combination with a ...
Related Pictures
★リンクテーブル★
[★]
- 英
- urethrography
- 同
- 尿道膀胱造影
[★]
[★]
逆行性膀胱尿道造影