URETROCYSTOGRAFI

Susi Tri Isnoviasih, S.ST, M.Tr.Kes

ANATOMI
Total kapasitas
blader 350 –
500 ml
Total kapasitas
urin sewaktu
250 ml
Size,position
and fungction
dr VU
dipengaruhi o/
kehamilan dan
fecal material di
rectum

1
Anatomi
FEMALE

Anatomi
MALE
Bagian dr
uretra:prostatic,
membranous &
spongiosum
Panjang uretra
17.5 – 20 cm
Prostatic panjang
2.5 cm
Membranous
panjang 1.3 cm

2
 TR URETROGRAFI
Pengertian
Pemeriksaan radiodiagnostik dari urethra
dgn memasukan media kontras positif ke
dlm urethra dgn tujuan utk melihat
anatomi, fisiologi dan anatomi anomalies
Mrpkn nonfunctional examination

Indikasi
pemeriksaan
Trauma mrpkan pnyebab Infeksi akut
trbesar striktur Radang uretritis akut
(penyempitan lumen) UTI (urinary tract
Obstruksi uretra infection)
Retensi urin
Kelainan kongenital
Fistule(sluran abnormal
yg trbntuk antra 2 buah
organ yg shrusnya tdk
trhbung)

3
 Persiapan pasien Persiapan Alat &
Bahan
Tdk ada prsiapan khusus 5–20 mL high osmolar
Sblm px pasien dsruh contrast media (HOCM)
kencing -> kntras tdk or low osmolar contrast
brcmpur dgn urin media (LOCM), 200–280
mgI/mL
spuit 20 cc
Penil clamp/urethral
cateter
larutan fisiologis
Sarung tangan
Jelly

projection
1.Foto polos
tujuan :
utk memengetahui struktur organ sblm di masukan
kontras
utk menentukan faktor kondisi selanjutnya
2. Foto AP
3. Foto RPO& LPO
Oblique 30º
CP di sympisis pubis

4
 TR cystografi
Pengertian
Pemeriksaan radiodiagnostik dari VU dgn
memasukan media kontras positif ke dlm
VU melalui uretral catheter dgn tujuan utk
melihat anatomi, fisiologi dan anatomi
anomalies
Mrpkn nonfunctional examination

Indikasi
pemeriksaan Kontra Indikasi
Cystitis Infeksi akut
Obstruksi
Vesicoureteral reflux
Bladder calculi

5
Persiapan pasien Persiapan Alat &
Bahan
Tdk ada prsiapan khusus High or low osmolar
Sblm px pasien dsruh contrast agent – up to
kencing -> kntras tdk 300 mL of 150 mg
brcmpur dgn urin iodine (mgI) per mL
Foley
catheter/urethral
cateter
Drip stand
larutan fisiologis
Sarung tangan
Jelly

prosedur
The bladder is drained of any remaining
urine via the catheter
After connecting the contrast agent to the
catheter, the contrast agent vessel is hooked
onto a drip stand and agent is allowed to run
into the bladder; the flow should be
controlled initially to allow early filling to be
assessed fluoroscopically (to ensure that the
catheter is positioned in the bladder and not
in the vagina or ureter)

6
AP projection
Patient is supine, with legs extended and
midsagittal plane to center
of table.
AP, 10° to 15° caudad.

LPO & RPO Positions

45° to 60° body rotation. (Steep oblique positions
are used to visualize posterolateral aspect of the
bladder,
especially UV junction.)

7
Lateral Positions
This is optional because of the high gonadal
radiation dose.
Position patient in true lateral (no rotation).

TR uretrocystografi

Pengertian
A functional study of the urinary bladder
and urethra determines the cause of
urinary retention
Menilai kemampuan urinari uretra
Dlkukan stlah pmriksan cystografi

8
RPO Position
Menggunakan fluoroskopi
Oblique body 30° into the RPOposition
Superimpose urethra over soft tissues of right thigh
CR is perpendicular to IR.
Center CR and IR to symphysis pubis

AP PROJECTION
Menggunakan fluoroskopi
Position patient supine or erect into the AP position.
Center midsagittal plane to table or film holder.
Extend and slightly separate legs CR is perpendicular to IR.
Center CR and IR to symphysis pubis