So this is my soap box concept as I still hear pillars of the urology/internal medicine community talk about how the pelvic urethra cannot be imaged well. This an example of one of my clients in the field sent me a standard telemed video of the pelvic urethra. You can easily see 3-4 cm post cuj and postprostatic in the male with manual pressure from the scanning hand while pronating your hand/wrist cranially as the probe, barely touching the patient, points caudally to the perineal.distal urethra region. You can use the descending colonic wall as a template to toggle back and forth from with subtle movements. Once you know how to do it its really fast and easy. I think the traditional difficulty comes from the fact that so many people push the probe into the patient  (Ouch!!) when the patient tolerates the scan so much better if the probe is just along for the ride sliding through the gel and the scanning hand and fingers just make their own window moving artifact out of the way. Just an FYI on a big boy scanning technique:) PLus saves money on a scope….the only way a scope is needed here is to sample (if US-guided traumatic catheterization wouldn’t help) or if the lesion is in the last cm or so of the urethra in which a ureteral dilation would likely be present or may be seen on a vaginal exam at the u-orifice in a female.