Doctor insights on:
Retrograde Urethrogram Voiding
Urethrogram 2 ways: Urethra filled by retrograde instillation of x-ray contrast, in males, through a Foley catheter inflated just inside urethral opening or with a special retrograde urethrogram device attached to a syringe filling urethra and bladder until bladder full & patient voids. Or in both sexes bladder filled via a catheter which is then removed & urethra then filled from below by syringe. Best urethral pics. ...Read more
Urinary problems: A retrograde urethrogram is when a tiny catheter is put into the opening of the urethra (penis in males) and pictures are taken as the dye is injected backwards. A voiding study is the opposite, contrast is put into the bladder with a catheter and pictures are taken as the patient pees the contrast out. ...Read more
Dye to &from bladder: Retrograde urethrogram performed be retrograde instillation of urographic contrast medium (dye) from urethral meatus (opening) backwards up the bladder. Voiding cystourethrogram is performed by having a small catheter passed up urethra into th bladder which is then filled with contrast until full and subject then urinates whilst entire study is monitored by xray fluoroscopy. ...Read more
Fluoroscopic study: Fluoroscopic imaging of bladder and urethra. Usually small catheter is placed through urethra into the bladder. This hurts slightly for a few seconds. Contrast material is placed by gravity via catheter into bladder filling up bladder until patient gets urge to void. Patient then is also imaged voiding. ...Read more
Retrograde urethrogram report: q 3 of 3. Impression: suggestive of bladder outlet obstruction with significant pvr. Meaning?
Retrograde urethrogram report. Q 3 of 3. At the bottom it reads- suggestive of bladder outlet obstruction with significant pvr. How serious is this?
PVR and BOO: This is a serious problem that needs to be evaluated by a urologist. A retrograde urethrogram is not a test you order unless there is a history of trauma to the urethra or std (gonorrhea). In a 44 year old man a urethral stricture could be the cause for the obstruction and pvr. ...Read more
That's good: Vesicoureteral refulx is flow from the bladder backwards into the tubes connecting the kidneys. Often, this is checked when voiding (peeing) to be certain that the contraction of the bladder is not forcing urine up into the kidneys. When refulx happens, kidney infections and scarring are more likely. ...Read more
Retrograde urethrogram report: q 1 of 3. During micturating phase on evidence of flow of contrust through the urethra seen. What does it mean?
Urethrogram: The urethra does not have dye in it. ...Read more
Hi doc, I have been diagnosed with bladder neck obstuction after retrograde urethrogram and uroflow tests. Rgu suggested no strictures. Imfeelingpain?
Here is what I. ..: Experiencing painful voiding after diagnostic procedures through the urethra is expected, will ease, and eventually disappeared with variable pace among individuals, usually within 1-2 days, and medication such as Pyridium and Flomax (tamsulosin) may help ease it. Yet, one has to relate the visible bladder neck obstruction with its functional impact onto personal voiding. Detailing? Ask doc timely. Best wish. ...Read more
Urethrogram says I have a membranous urethral stricture, what's next for me? I'm terrified of the treatment, the only serious symptom is nocturia
Treatment can vary: A urethral stricture had several treatments. If the structure is short in length often a simple dilatation is all that is needed. If it is dense or long a urethrotomy (cutting the structure) is done. If those don't work sometimes an open repair needs to be done. See a urologist for guidance. Best of luck ...Read more
Having difficulty in urinating completely and irritation in penis. Urinanalysis, ultrasound and retrogade urethrogram normal but PVR is 80.whats wrong?
Here are some...:
Your reported scenario suggests you may have some dysfunction in relaxing and opening the urinary sphincter which may or may not be the early sign of impaired local nerve control, but can be helped with pelvic floor muscle exercise + using alpha-blocker. To get things done correctly, follow instructions in
http://formefirst. Com/eNewsletter06.html; thereby you gain insight on how to work with doc ...Read more
If someone had retrograde urination (male) would they usually know? (because it's a backflow of urine) cause of epidymitis chronic? Please help me.
Decrease semen volume. Suddenly. Not frequent sexual activities. No pain. Possible retrograde. Beer consumption. Urination normal. No surgeries. Help?
Probably okay...: Some fluctuation in the semen volume is normally expected reflecting the degree, duration, and interval of arousal and sexual intercourses or masturbations. As aging, similar change may occur but widely varying among men and over lifetime. Since being asymptomatic, leave it alone; if bothering mentally or physically, seek evaluation & counseling timely. ...Read more
Retrograde ejaculation is rare in the young like you at 37 and usually happens to those after prostate surgery and taking alpha-blocker resulting in poor ability to close the bladder neck at the moment of ejaculation.
Confirmatory diagnosis is made by microscopic urinalysis after ejaculation.
If diagnosis is sure as described and impregnating partner is desired, giving or adjusting drug may... ...Read more
Depends upon cause: Not fixable after prostatectomy or resection of bladder neck. Stop or change drugs which cause re, flomax, (tamsulosin) antihypertensives & some antidepressants. Re from nerve damage from diabetes or multiple sclerosis may respond to imipramine, antihistamines or decongestants like sudafed or ephedrine. Subjects needing to overcome infertility may need assisted reproductive technology to harvest sperm for ai. ...Read more
Medical, IUI or IVF: Retrograde ejaculation can be caused by injury to the nerves through surgery or from diabetes. Medical treatments can sometimes be used to increase the sphincter pressure of the bladder so sperm will come out instead of back. Otherwise, ejaculating, voiding afterward then quickly processing the sample for use with insemination or ivf is necessary. ...Read more
Just let it go: Amnesia is the loss of memory concerning an event. If there is loss of memory for a period of time before the event, it is called antegrade amnesia. If there is loss of memory for a period after the event, it is called retrograde amnesia. There may be some recovery of memory over time, but often there is permanent loss of memory, especially retrograde. This can be a protective effect. ...Read more
CT renal exam: A ct without and then with IV contrast may give an accurate evaluation of the kidneys and ureters. Occasionally, small tumors, or stones may only be seen by retrograde pyelography. ...Read more
Pyelogram: Is an invasive procedure in which you place a cystoscope through the urethra, then pass a small catheter through the scope into the opening of the ureter into the bladder and inject contrast material into the kidney to study the anatomy of the drainage system of the kidney and take x.-rays usually under fluoroscopic control. ...Read more
Retrograde ejaculation: Retro grade ejaculation is when the muscle that leads into the bladder does not close off during the act of ejaculation. The semen will enter into the bladder and not through the opening of the penis. If the male produces a urine specimen then sperm can be found in the urine. ...Read more
Dry climax: This is often misdiagnosed on history. You have the feeling of an orgasm but no semen comes out -- it goes into your bladder. If this is you, talk with your physician. Or if you have other questions here that would call for a good physical exam, ask your physician. Best wishes. ...Read more