Place the tip of the metallic adaptor into the urethral orifice and attach the contrast loaded syringe to itĪn alternative is to place a Foley catheter tip in the navicular fossa and gently inflate the balloon with 2 to 3 ml of sterile water until a seal is formed 4 making sure not to cause the patient pain or damage the distal urethra The patient position should be oblique to visualize the full length of the urethra Some advocate against the use of lidocaine gel on the basis that an inadequate seal is formed Local anesthetic helps to relax the sphincter as the patient may contract it during the procedure thus leading to a diagnosis of a stricture lidocaine gel) into the urethra with a syringe Inject a small amount of topical local anesthetic (e.g. Retract the foreskin and clean the tip of the penis with Betadine® (povidone-iodine) or antiseptic solution Pelvic trauma in the emergency department (retrograde only) 4 ![]() The resulting images are known as urethrograms. When the posterior urethra is studied during micturition, this has been referred to as: ![]() When the urethra is studied with instillation of contrast into the distal/anterior urethra it has been referred to as:
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