Sonography of the female urethra.

Siegel, Cary; Middleton, William D.; Teefey, S A; Wainstein, Mark A.; McDougall, Elspeth M.; Klutke, Carl G.

doi:10.2214/ajr.170.5.9574599

Cited by 71 publications

(29 citation statements)

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“…However, it cannot be used routinely because it requires a very expensive dedicated intravascular unit. 15,16 In our experience, TVUS proved more effective than the conventional examinations (physical examination, voiding cystourethrography, and pelvic ultrasonography) in the diagnosis of organic urethral diseases. TVUS also provided a better evaluation of diverticula than voiding cystourethrography.…”

Section: A B Discussionmentioning

confidence: 78%

“…13,14 Transperineal sonography can reveal periurethral masses as well as transvaginal echography can but cannot give an accurate anatomic evaluation. 15,16 Transurethral sonography has more accuracy because it can show the neck of a diverticulum better than TVUS and transperineal sonography. However, it cannot be used routinely because it requires a very expensive dedicated intravascular unit.…”

Section: A B Discussionmentioning

confidence: 99%

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Transvaginal ultrasonography in the assessment of organic diseases of female urethra.

Fontana

Porpiglia

Morra

et al. 1999

Journal of Ultrasound in Medicine

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The current investigation aimed to check the effectiveness of transvaginal ultrasonography in the diagnosis of organic urethral diseases, comparing its results with those of conventional examinations (physical examination, voiding cystourethrography, pelvic ultrasonography, cystourethroscopy). Transvaginal ultrasonography was performed in 560 female patients with recurrent cystitis, dysuria, or palpable masses and diagnosed the following urethral diseases: 25 diverticula, seven stenoses, three carcinomas, two leiomyomas of periurethral tissue, and one incomplete duplex urethra. In our study transvaginal ultrasonography proved to be the most reliable diagnostic tool among imaging methods used.

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Section: A B Discussionmentioning

confidence: 78%

Section: A B Discussionmentioning

confidence: 99%

Transvaginal ultrasonography in the assessment of organic diseases of female urethra.

Fontana

Porpiglia

Morra

et al. 1999

Journal of Ultrasound in Medicine

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show abstract

“…Furthermore, if a diverticulum cannot be excluded based on physical examination, TVS may help differentiate between both entities. TVS has been shown to be effective in diagnosing urethral diverticula [11][12][13][14] . Compared with VCUG, Siegel et al [12] found that TVS was able to identify the neck of the diverticula in 13 of 15 diverticuli (87%), whereas VCUG only identified 2 of 13 (15%).…”

Section: Discussionmentioning

confidence: 99%

“…TVS has been shown to be effective in diagnosing urethral diverticula [11][12][13][14] . Compared with VCUG, Siegel et al [12] found that TVS was able to identify the neck of the diverticula in 13 of 15 diverticuli (87%), whereas VCUG only identified 2 of 13 (15%). Finally, newer imaging modalities such as endorectal coil MRI are being studied for their possible utility in evaluating lower urinary pathology in women [15] .…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Management of Periurethral Cysts

Lucioni¹,

Rapp²,

Gong³

et al. 2007

Urol Int

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Background/Aims: Periurethral cysts are a rare entity that may be confused with urethral diverticula. The protocol for diagnosis and management of these lesions is still unclear. We present our experience with six patients presenting with periurethral cysts. Methods: From 2001 to 2005 we evaluated six patients with a paraurethral mass. History, physical examination, laboratory and radiographic findings were analyzed to determine factors helpful in mass diagnosis. Cyst excision was performed via trans-vaginal approach in all patients and outcomes of this approach were assessed. Results: Six female patients, average age of 29.7 years, presented with the complaint of a paraurethral mass. Transvaginal sonography was performed in two patients to confirm the presence of a periurethral cyst. Cystourethroscopy in all patients revealed no communication between the cyst and the urethra or presence of other lesions. Pathology revealed a benign cyst in all patients. No cyst recurrence has been seen in any patient. Conclusion: Most periurethral cysts can be diagnosed by physical examination. The diagnosis may be confirmed with transvaginal sonography. Cystourethroscopy should be performed to rule out other pathology, but may be done in the same setting as surgical excision. Complete surgical excision is effective and is associated with minimal risk of recurrence during short-term follow-up.

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“…Transvaginal and transurethral techniques have been described. [28][29][30] Transvaginal imaging can often provide information regarding the size and location of urethral diverticula and does not require the patient to void. It is relatively non-invasive and, like all ultrasonographic imaging, is free from radiation exposure.…”

Section: Imagingmentioning

confidence: 99%

Urethral diverticula: A review and an update

Rovner

2007

Neurourology and Urodynamics

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Likely originating from the periurethral glands, female urethral diverticula (UD) are an uncommon but fascinating clinical entity. UD are variable in their presentation and the diagnosis is sometimes difficult and delayed. Modern imaging modalities such as surface coil and endoluminal magnetic resonance imaging (MRI) have added to the diagnostic armamentarium but have also furthered our understanding of UD. Accurate preoperative characterization of the often complex anatomical patterns seen on these imaging studies including saddlebag and circumferential urethral involvement, as well as complete evaluation of associated voiding dysfunction such as complete evaluation of associated voiding dysfunction such as urinary incontinence often impacts contemporary surgical management.

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Sonography of the female urethra.

Cited by 71 publications

References 0 publications

Transvaginal ultrasonography in the assessment of organic diseases of female urethra.

Transvaginal ultrasonography in the assessment of organic diseases of female urethra.

Diagnosis and Management of Periurethral Cysts

Urethral diverticula: A review and an update

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