Urethrography

Urethrography is a radiographic examination of the urethra using a contrast agent. The procedure allows detection of urethral strictures (narrowings), ruptures, fistulas, tumors, and other pathologies of the urethra in both men and women.

When is urethrography indicated?

• In cases of difficult urination or weak urine stream.
• When urethral strictures (narrowing) are suspected.
• After urethral trauma to detect ruptures and injuries.
• In chronic inflammatory conditions (urethritis, urethral fistulas).
• In congenital anomalies of the urethra.

Types of urethrography

• Ascending (retrograde) urethrography – contrast medium is introduced through the external urethral opening and moves upward, allowing detailed assessment of the urethral lumen.
• Descending (voiding) urethrography – contrast enters the urethra from the urinary bladder during micturition, which helps identify functional disorders.

How is the procedure performed?

1. Preparation – antiseptic cleansing of the urethral opening is performed; urine and blood tests may be required.
2. Contrast administration – a radiopaque contrast agent is introduced into the urethra via a catheter.
3. X-ray imaging – a series of radiographs is taken to evaluate the condition of the urethra.
4. After the procedure – the patient is advised to drink plenty of fluids to facilitate elimination of the contrast agent.

Main advantages of urethrography

• High diagnostic accuracy for urethral diseases.
• Detection of abnormalities and pathologies not visible on ultrasound.
• Effective identification of traumatic and cicatricial (scar-related) changes.
• Minimally invasive – no surgical intervention is required.
• Rapid performance – the procedure usually takes no more than 20–30 minutes.

Why undergo urethrography in Belarus?

The procedure is performed in leading urological centers in Belarus using modern X-ray equipment and advanced contrast agents. Experienced specialists ensure high diagnostic accuracy, patient safety, and procedural comfort.