Magnetic Resonance Imaging of Female Urethral and Periurethral Disorders

Surabhi, Venkateswar R.; Menias, Christine O.; George, Vineeth; Siegel, Cary; Prasad, Srinivasa R.

doi:10.1016/j.rcl.2013.07.001

Cited by 35 publications

(21 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Other complications include trapped stones (<10 %) and, rarely, malignant transformation (Fig. 2b, c) [11]. The types of epithelial transformation encountered include squamous and glandular metaplasia, as well as adenocarcinoma and, less likely, transitional-cell and squamous-cell carcinoma [6].…”

Section: Urethral Diverticulummentioning

confidence: 99%

MRI of female urethra and periurethral pathologies

et al. 2015

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Urethral Diverticulummentioning

confidence: 99%

MRI of female urethra and periurethral pathologies

et al. 2015

Self Cite

View full text Add to dashboard Cite

show abstract

“…Stone formation due to stasis of urine occurs in 1.5%-10% of women with urethral diverticuli. 34 Treatment is primarily surgical; however, surgical complications range from 5% to 46% and include urethrovaginal fistula, stress incontinence, urethral stricture, recurrence of diverticula, and new-onset urgency. 31,35 Urethral diverticuli can be associated with urinarytract infections in a high percentage of cases as well as bladder outlet obstruction, stone formation, and incontinence.…”

Section: Urethral Diverticulummentioning

confidence: 99%

“…38 Squamous cell carcinoma is the most common female urethral carcinoma in the absence of a diverticulum. 18,34 Risk of carcinoma is not insignificant, and about 5% of all urethral carcinomas in women arise in a diverticulum, and these tumors are often in the late stage at diagnosis and aggressive. 34 In a series of 90 female patients with excision of urethral diverticuli, there were 5 carcinomas (1 clear cell adenocarcinoma and 4 ''invasive adenocarcinomas'').…”

Section: Urethral Diverticulummentioning

confidence: 99%

“…18,34 Risk of carcinoma is not insignificant, and about 5% of all urethral carcinomas in women arise in a diverticulum, and these tumors are often in the late stage at diagnosis and aggressive. 34 In a series of 90 female patients with excision of urethral diverticuli, there were 5 carcinomas (1 clear cell adenocarcinoma and 4 ''invasive adenocarcinomas''). 39 These authors recommended careful clinical examination and follow-up in patients with diverticuli, as well as informed evaluation of excised specimens for dysplastic and malignant change, because of the cancer risk.…”

Section: Urethral Diverticulummentioning

confidence: 99%

“…34 They are more common in women. 55 Symptomatology varies with location, with anterior (ventral) lesions more likely to present with urinarytract infection and mass, and posterior (dorsal) lesions more often presenting with dyspareunia.…”

Section: Leiomyomamentioning

confidence: 99%

See 2 more Smart Citations

Lesions of the Female Urethra: A Review

Heller

2015

Journal of Gynecologic Surgery

View full text Add to dashboard Cite

Objectives: The female urethra may become involved by a variety of conditions, which may be challenging to providers who treat women. Mass-like urethral lesions need to be distinguished from other lesions arising from the anterior (ventral) vagina. Methods: A literature review was conducted. A Medline search was used, using the terms urethral neoplasms, urethral diseases, and female. Results: Reported lesions of the urethra were reviewed. Many of these lesions can be mistaken for each other clinically. Conclusions: A review of the scope of urethral lesions is presented to assist in developing a differential diagnosis if a patient with a urethral lesion is encountered. For practitioners who care for women, this will encourage communication and consultation where appropriate. ( J GYNECOL SURG 31:189)

show abstract

Peri‐Urethral and Anterior Vaginal Wall Masses: Does Radiological Imaging Change the Predicted Diagnosis?

Touma

Yao

Shamout

et al. 2023

Neurourology and Urodynamics

View full text Add to dashboard Cite

Introduction: This study aims to determine the accuracy of radiological imaging compared with surgical pathology in patients with periurethral (PU) and anterior vaginal wall (AVW) lesions.Methods: This study is a retrospective analysis of 126 women who underwent surgical treatment for PU and AVW masses between 2011 and 2020. Clinicopathological data were extracted along with radiological findings from medical records. The primary outcome was the diagnostic accuracy of preoperative imaging compared to the gold standard, pathological diagnosis. The secondary outcome was the rate of imaging correcting the clinical diagnosis.Results: A total of 126 women with a median age of 42 underwent surgical treatment for PU and AVW masses. The most diagnoses were periurethral cysts (PUC) (52%) and urethral diverticulum (UD) (39%). Clinical diagnosis was accurate in 102 cases (81%) for the group of pathological diagnoses.Magnetic resonance imaging (MRI) and transvaginal ultrasound (TV US) were performed in 82 (65%) and 22 (17%) cases. The accuracy of MRI and TV US for the diagnosis of PU and AVW lesions was 76% and 82%, respectively. MRI and TV US corrected the clinical diagnosis in five (6%) and two (9%) cases, respectively. Voiding cystourethrography (VCUG) and double balloon urethrography (DBU), each performed in six (5%) cases, were accurate in four (67%) and three (50%) cases. No statistical difference was found for any imaging modality compared to clinical diagnosis. Conclusion:Clinical diagnosis based on pelvic and cystoscopy examinations was sufficient for diagnosing PU and AVW masses and was not significantly different from imaging diagnosis. Imaging may be helpful with preoperative surgical planning in selected cases.

show abstract

Magnetic Resonance Imaging of Female Urethral and Periurethral Disorders

Cited by 35 publications

References 32 publications

MRI of female urethra and periurethral pathologies

MRI of female urethra and periurethral pathologies

Lesions of the Female Urethra: A Review

Peri‐Urethral and Anterior Vaginal Wall Masses: Does Radiological Imaging Change the Predicted Diagnosis?

Contact Info

Product

Resources

About