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In a voiding cystogram, how is the male urethra typically demonstrated?

  1. AP view

  2. Posterior oblique view

  3. Anterior oblique view

  4. Lateral view

The correct answer is: Anterior oblique view

The demonstration of the male urethra in a voiding cystogram is best achieved using an anterior oblique view. This positioning helps to visualize the urethra in its entirety, as it allows for a more open angle and reduces superimposition of surrounding structures. By using an anterior oblique position, the radiologist can better assess the anatomy and any pathologies present in the urethra while ensuring that the contrast medium distributes evenly. This view is particularly important in evaluating conditions such as urethral strictures or other abnormalities that might not be clearly visible in other views. Other positional views like AP or lateral views may not adequately demonstrate the entire urethra or might obscure vital anatomical details, making them less effective for this specific examination purpose. Therefore, the anterior oblique view is key in obtaining optimal imaging of the male urethra during a voiding cystogram.