Iatrogenic urethral injury

Case contributed by Henry Knipe
Diagnosis certain


Nine days post AP resection.

Patient Data

Age: 60 years
Gender: Male

Retrograde urethrogram


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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