Published: 2020-01-27

Fournier’s gangrene following retrograde urethrography: a rare complication

Shrishti Kanodia, Suraj Hegde Prakash, Kabekkodu Venkata Tejaswi, Rajeev Thekke Puthalath, Narendra Pai


Retrograde urethrography (RGU) is a useful investigation to look for urethral injuries. It can result in various complications like anaphylaxis due to contrast material, urinary tract infection and intravasation or extravasation of contrast. In this case report, a rare complication of RGU was seen in the form of Fournier’s gangrene. This complication was probably due to extravasation of contrast material during the procedure which lead to reactionary changes of the penile skin and scrotum. Patient was managed aggressively and had a good recovery and is on regular follow up.


Retrograde urethrography, Continence, Fournier’s gangrene, Lower urinary tract symptoms, Contrast

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Maciejewski C, Rourke K. Imaging of urethral stricture disease. Translational Androl Urol. 2015;4(1):2.

Pandey S, Sharma D, Garg G, Aggarwal A. Extravasation of contrast beneath the preputial skin due to improper technique of retrograde urethrogram. BMJ Case Rep. 2018;2018:bcr-2018.

Sharma S, Agarwal MM, Mete UK. Retrograde Urethrogram or a Venogram? Be Careful Next Time. Indian J Surg. 2014;76(5):411-2.

Gupta SK, Kaur B, Shukla RC. Urethro-venous intravasation during retrograde urethrography (report of 5 cases). J Postgraduate Med. 1991;37(2):102.

Theisen KM, Kadow BT, Rusilko PJ. Three-dimensional imaging of urethral stricture disease and urethral pathology for operative planning. Current Urology Rep. 2016;17(8):54.

Arogundale RA, Abe JS. Urethrocavernous and urethrovascular reflux of contrast medium and excretory urogram during retrograde urethrography. West African J Med. 1993;12(4):236-8.