Presentation
Unable to pass urine
Patient Data
Age: 70 years
Gender: Male
From the case:
Venous intravasation - retrograde urethrogram
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Tight stricture noted in bulbomembranous junction with intravasation of contrast into the penile and pelvic veins.
Case Discussion
Urethro-venous intravasation is defined as visualization of the tributaries of veins draining the penis. It is a rare finding on retrograde urethrogram and its incidence is about 1%.
It is believed to result from a breach in the integrity of the inflamed urothelial mucosa due to increasing pressure in the inflamed and strictured urethra leading to urethro-venous intravasation.
Complications include bacteremia, sepsis, contrast nephropathy, allergic reactions to contrast media and even pulmonary edema.