Today’s case is a 9-year-old male neutered Border Collie with 8 days of difficulty urinating.
Case originally posted on May 14, 2007
Teaching and learning about veterinary diagnostic imaging.
Today’s case is a 9-year-old male neutered Border Collie with 8 days of difficulty urinating.
There is a radiopaque calculus visible in the penile urethra on the plain radiographs. With positive contrast urethrography, the calculus is visible as an intraluminal filling defect in the membranous urethra. The pressure from urethrography has retropulsed the calculus proximally. Finally, the calculus is visible as a filling defect in the bladder on the last radiograph.
Urethral calculus – 100% silica.
This calculus is visible on plain radiographs, but some are radiolucent. Positive contrast urethrography is a good technique to clearly outline either type. It also has the added benefit of a possible therapeutic technique.
davidbessler says
What was your technique here? What volume (approximate) of contrast agent was used and at what concentration? It looks like the tip of the red rubber catheter is only at the distal tip of the urethra, did you place it there, occlude the urethral orifice and retropulse from there?
Allison Zwingenberger says
We usually use a small balloon tipped catheter in the distal urethra to prevent leakage. You need to use iodinated contrast medium (ionic or non-ionic) and can dilute it to 50% strength. Start with 20-40 ml drawn up as you may want to do several radiographs while injecting. Take your radiographs during injection, using appropriate protective clothing and radiation safety practices. You should only need a few ml to distend the urethra. Sometimes you get a diagnostic and therapeutic study!