A new method for complete urethrocystography in women

SUMMARY Cystourethrography is valuable in the investigation of the lower urinary tract, and we have been using it in the study of the pathology of the urethra. An anatomo–radiological classification of the urethral segments is proposed, and some conditions are discussed with attention to the type and distribution of strictures. Fistulas follow intravasation of urine into the cavernous spaces and veins during micturition with subsequent thrombophlebitis and abscess formation secondary to pyasmic emboli in the penile venous plexus. The urethrovesical injection stream effect as a sign of bladder neck contraction is described.

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A Study of the Bladder Outlet in Lower Urinary Tract Infections in Women

Essenhigh

Ardran

Cope

1968

British Journal of Urology

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SUMMARY A group of 17 female patients complaining of recurrent cystitis was studied. Investigation was by voiding cinecystography, urethrography, pressure/flow measurements, and cystourethroscopy. The astiology of cystitis is discussed, and in 15 of these patients there was no immediately obvious cause for their symptoms. Definite evidence was found in 10 of these patients of increased outflow resistance, and this was seen to be particularly marked in those patients who had evidence of renal infection. The mechanism of this obstruction was not discovered, but it is thought to be an important ætiological factor in the genesis of cystitis. Voiding cystography suggested that abnormal function of the detrusor or urethra rnay be found in such patients (eight patients in this series), but a large series would be necessary to establish particular patterns. Cystography is recommended in those patients who fail to respond to treatment. Urethrography revealed one diverticulum, but was otherwise valueless. It is recommended only when there is definite periurethral induration. Treatment of these patients was by urethral dilatation to 1–5 cm. (45 French, 15 Hegar). Complete relief or improvement was found in ail patients, although four required further dilatation. An unusual finding was of increased force of flow described spontaneously by six patients. Renal pain was relieved or improved in ail cases.

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A new method for complete urethrocystography in women

Cited by 4 publications

References 12 publications

The Vital Role of the Distal Urethral Segment in the Control of Urinary Flow Rate

The Vital Role of the Distal Urethral Segment in the Control of Urinary Flow Rate

Urethrocystography in the Male

A Study of the Bladder Outlet in Lower Urinary Tract Infections in Women

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