There is no stricture or leak of the urethra. The Foley catheter tip is faintly radiopaque, but can be better seen as a filling defect after administration of contrast. The round opaque structure in the distal penis is the inflated Foley balloon. The round opaque structure in the distal penis is the inflated Foley balloon. Retrograde urethrogram: The penis is postioned at approximately the 10 o'clock position. Is a retrograde Urethrogram painful No, the procedure does not involve any injections. Retrograde urethrography continues to represent a cost-effective tool that remains the gold-standard for initial diagnostic evaluation of acute male urethral trauma, as well as post-traumatic pathologies, including stricture and fistula formation. Out-of-hospital services attract higher benefits when they are bulk billed by the provider.įor all diagnostic imaging items (except those in Group 6 – Management of Bulk Billed Services and item 61369) benefits for bulk billed services are payable at 95% of the schedule fee for the item. Retrograde urethrogram: The penis is postioned at approximately the 10 oclock position. A retrograde urethrogram (RUG) is a diagnostic procedure performed most commonly in male patients to diagnose urethral pathology such as trauma to the urethra or urethral stricture.