AUA: Urethral Stricture Disease (2023): Difference between revisions
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**#'''Length''' | **#'''Length''' | ||
**#'''Degree of lumen narrowing''' | **#'''Degree of lumen narrowing''' | ||
**Complete or near complete occlusion of the urethra may make the assessment of the urethra proximal to the stricture difficult. In this instance, RUG may be combined with antegrade VCUG or other methods to define the extent of the stricture. | |||
**Image quality and accuracy of RUG is operator-dependent; surgical planning should be based on high quality images generated by experienced practitioners or the surgeon him/herself | **Image quality and accuracy of RUG is operator-dependent; surgical planning should be based on high quality images generated by experienced practitioners or the surgeon him/herself | ||
** | **Adverse Events | ||
***Patient discomfort | ***Patient discomfort | ||
***UTI (rare) | ***UTI (rare) | ||
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***Contrast reaction, should there be an allergy | ***Contrast reaction, should there be an allergy | ||
****Risk is very low in the absence of inadvertent extravasation and may be mitigated by pre-medication with oral corticosteroids and histamine blockers | ****Risk is very low in the absence of inadvertent extravasation and may be mitigated by pre-medication with oral corticosteroids and histamine blockers | ||
*'''Voiding Cystourethrography''' | *'''Voiding Cystourethrography''' | ||
**Performed by passing a small catheter proximal to the stricture, by retrograde filling of the bladder during RUG, or by antegrade filling via a SP tube | **Performed by passing a small catheter proximal to the stricture, by retrograde filling of the bladder during RUG, or by antegrade filling via a SP tube | ||