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Iatrogenic urethral rupture

Case contributed by Nikos Karapasias
Diagnosis certain

Presentation

Dysuria, hematuria and inability to void related to traumatic Foley catheter removal without prior balloon deflation

Patient Data

Age: 80 years
Gender: Male
Fluoroscopy

Retrograde urethrogram shows rupture of the urethra at the level between the penile and bulbous urethras, opacification of the corpus spongiosum, extravasation into periurethral tissue (rupture of the membranous urethra with intact urogenital diaphragm) and stricture of the prostatic urethra . The transurethrally injected contrast medium extravasates into adjacent tissues and intravasates into pelvic veins.

Case Discussion

Traumatic Foley catheter removal without prior balloon deflation.

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