Patients with a case history of severe side-effects from iodine-contai
ning contrast media present problems in later radiological examination
. We report here on an alternative, the first extravascular use of Gd-
DTPA in an X-ray urethrography. By using the standard processing algor
ithm of our digital radiographic equipment and 60 mi undiluted Gd-DTPA
meglumine (469 mg/ml) we achieved good contrast and could exclude the
suspected urethral diverticulum in a 26-year-old man. No adverse reac
tions occurred. Gd-DTPA seems to offer a reasonable contrast and may b
e used as an alternative extravascular contrast medium in selected con
ventional radiographic studies.