Iatrogenic urethral injury

Case contributed by Dr Henry Knipe

Presentation

Nine days post AP resection.

Patient Data

Age: 60
Gender: Male

Retrograde urethrogram

Fluoroscopy

Large extraperitoneal collection of contrast, with contrast leaking from the posterior urethra. Filling defects within the penile urethra related to lignocaine gel. Tip of the catheter seen in the navicular fossa. 

Case Discussion

Key learning points

  • urethral injury is a well known, albeit uncommon, complication of AP resections
  • most commonly affects the posterior urethra

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