Prosedur Pemeriksaan Retrograde Urethrography pada Pasien Post Internal Urethrotomy

Abstract

Background: Retrograde urethrography (RUG) is a key imaging technique in the evaluation of urethral strictures, especially after internal urethrotomy. Although standard practice uses plain radiograph AP and RPO post-contrast projection, an additional AP post-contrast projection is applied at RSUD Dr. Adhyatma, MPH Central Java Province. This study aimed to describe the RUG procedure in post-internal urethrotomy patients and the rationale for using the AP post-contrast projection.

Methods: This qualitative case study involved interviews with radiographers and radiologists, field observations, documentation, and literature review. Data were analyzed descriptively. 

Results: The RUG procedure in post-internal urethrotomy patients at RSUD Dr. Adhyatma, MPH uses three projections; AP plain, AP post-contrast, and RPO post-contrast.

Conclusions: The addition of the AP post-contrast projection aids in differentiating air from true strictures by enhancing the accuracy of filling defect interpretation when combined with the RPO projection.