Bouginage

Procedure performed to relieve the stricture and scar tissue caused by a long standing  or a past gonorrheal urethritis or a traumatic and healed urethritis. It is passed through the urethra taking cognizance of the anatomy of the male urethra. First the bougie is  passed through the opening navicular fossa of the penile urethra while its concavity is facing downwards. It is then passed gently into the penile urethra after which it is flipped vertically so that the concavity faces upwards in order to navigate the angulation at the membranous urethra and the urethral bulbar fossa. This is repeated several times before retrieval of the bougie. The bougie is lubricated in xylocaine jelly before the procedure.

Care must be taken not to rupture the bulbar urethra, which is the most common site of damage.

Click picture to label urethra; reclick to restart bouginage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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