Retrograde Urethrogram (RUG) PRINT
I. Equipment (May vary between sites)
a. Isovue 300/ Omnipaque 240/300
b. 20cc luer lock syringe
c. Extension tubing w/ luer lock adapter
d. 18G needle (for drawing contrast)
e. Lidocaine gel
f. Povidone-iodine swabs / sterile cotton balls w/ shur-clens
g. Sterile fenestrated drape
h. Sterile 4×4 gauze
i. 5F HSG catheter or 8F pediatric feeding tube
j. Sterile towels
k. Sterile gloves (check latex allergy)
l. Hemostats
II. Personnel
a. Radiologist/RA
i. Responsible for administering contrast and taking spot images
b. Hospital Technologist
i. Prints order for radiologist/RA review
ii. Documents patient history and allergies prior to exam
iii. Assists the radiologist /RA during procedure
iv. Provides patient with aftercare instructions
III. Procedure
a. Place HSG catheter or pediatric feeding tube using sterile technique
b. Gently inject contrast under fluoroscopy guidance
c. Remove catheter
IV. Required Images
a. Urethral images
i. AP and lateral urethra
ii. Capture contrast refluxing into bladder
iii. Different views of strictures/ abnormalities
V. Special Considerations
a. Follow contrast allergy protocol