Venous intravasation in retrograde urethrography
Difficulty in passing urine with purulent urine.
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A tight stricture is seen in bulbomembranous junction, with venous intravasation into penile vein and ascending venous pathway in pelvic veins
Enthusiast tech performed retrograde urethrography in case of bulbomembranous stricture, when venous intravasation into penile vein and ascending venous pathway occurred.
Venous intravasation in retrograde urethrography is a rare event. It is relatively common in procedures like hysterosalpingography. Reason behind venous intravasation is usually pre-existing mucosal breaches in inflammatory strictures, when contrast enters submucosal venous plexus, and intravasation along the venous pathway.
It is important to recognize such complications, while performing the procedure, as it may lead to anaphylaxis, renal failure as well as may lead rarely to mortality. Procedure should be stopped immediately.