Catheter induced urethral injury

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

History of recently forced catheterization.

Patient Data

Age: 35 years
Gender: Male
x-ray

Contrast was instilled via a catheter in the distal urethra, there is evidence of contrast leakage from the bulbar segment to the venous sinuses and subsequent enhancement of the surrounding penile veins, inferring venous intravasation.

Case Discussion

The findings are in the context of iatrogenic injury of the urethra in the bulbomembranus segment due to catheterization.

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