Ultrasound of the male anterior urethra

Shaida, Nadeem; Berman, Laurence

doi:10.1259/bjr/62473200

Cited by 15 publications

(14 citation statements)

References 21 publications

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“…It was noted, however, that this technique appeared to be best for imaging the pendulous and bulbar urethra, as the proximal extent of membranous strictures were often not visualized. Other studies have similarly found that SUG appears less accurate in diagnosing posterior urethral pathology [11][12][13].…”

Section: Urethral Ultrasonographymentioning

confidence: 99%

Three-Dimensional Imaging of Urethral Stricture Disease and Urethral Pathology for Operative Planning

2016

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Diagnosing urethral pathology can prove difficult, as clinically, the presentation is often nonspecific and may be suggestive of multiple etiologies. Therefore, detailed and accurate urethral imaging in both males and females is critical. Since the early 1900s, conventional imaging studies including RUG and VCUG, with adjunct cystourethroscopy, have remained the gold standard diagnostic techniques to evaluate urethral pathology. However, limitations of conventional imaging have generated interest in finding alternative imaging modalities with comparable, if not superior, diagnostic accuracy, the goal being a more complete assessment of urethral pathology and anatomy that would allow for appropriate surgical planning. Imaging modalities with three-dimensional (3D) capabilities may provide more comprehensive information regarding urethral diseases through a more detailed illustration of periurethral soft tissue structures. Whether or not these imaging modalities will replace conventional studies is unclear, though there is an increasing body of literature that support their use.

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Section: Urethral Ultrasonographymentioning

confidence: 99%

Three-Dimensional Imaging of Urethral Stricture Disease and Urethral Pathology for Operative Planning

2016

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“…Ultrasonography of the urethra was shown to directly influence the reconstructive operative approach for anterior urethroplasty in 45% of cases [1]. Gray scale imaging with doppler seems to be superior to radio urethrography for treatment planning.…”

Section: Whenmentioning

confidence: 99%

“…Advantages of the descending ultrasound technique over the alternative imaging methods are that it is noninvasive, is well-tolerated by the patient, can be performed by a single operator and provides excellent views of the distal urethra, which is especially important in hypospadias assessment [1]. Pitfalls being under distension by an inadequate stream of urine can mimic a long stricture.…”

Section: International Journal Of Medical Research and Reviewmentioning

confidence: 99%

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Sonourethrogram in comparison with retrograde urethrogram in evaluation of male anterior urethra

Haneef¹,

Radiologist²

2019

Int J Med Res Rev

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Objective: Imaging of anterior male urethra is usually done using retrograde urethrogram, which utilises radiation. This study utilises high resolution ultrasound which is radiation free and helps to understand urethral pathologies like strictures, chronic urethritis etc. This study also compares the utility of sonourethrogram with retrograde urethrogram and provides the advantages of using sonourethrogram. Also establishes the drawbacks of using sonourethrogram over retrograde urethrogram. Material & Methods: This study was done on 60 patients, came with different complaints like difficulty in micturition, obstructed urinary stream, pain in penis, increasing frequency of micturition and referred to us for retrograde urethrogram. Patients were examined with high resolution ultrasound with due permissions. Results are compared with findings of retrograde urerthrogram. Results: Out of 60 patients, 59 had strictures shown in retrograde urethrogram either in penile, bulbar or membranous parts. Only one patient had membranous urethral stricture in retrograde urethrogram which was not shown in sonourethrogram. All other patients have shown strictures in sonourethrogram. One patient had penile urethral calculus shown in both sonourethrogram and retrograde urethrogram. Conclusion: Sonourethrogram is equally effective as that of retrograde urethrogram especially in anterior urethral strictures. However, it underestimates or less useful in evaluation of posterior male urethral pathologies. Sonourethrogram is easily available, cost effective technique that uses no radiation in the evaluation of male urethra. It is equally effective compared to retrograde urethrogram in the evaluation of male anterior urethral strictures. Periurethral pathologies like fibrosis are better evaluated with sonourethrogram than with retrograde urethrogram. It is also important in the surgical planning and approach.

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“…Shaida and Berman [10] describe a novel application of ultrasound in imaging the penile anterior urethra, which has traditionally been depicted using fluoroscopic contrast urethrography. The ascending and descending urethral techniques employed to image a spectrum of pathologies are detailed.…”

mentioning

confidence: 99%

Male urogenital disorders

Harvey

2012

The British Journal of Radiology

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Ultrasound of the male anterior urethra

Cited by 15 publications

References 21 publications

Three-Dimensional Imaging of Urethral Stricture Disease and Urethral Pathology for Operative Planning

Three-Dimensional Imaging of Urethral Stricture Disease and Urethral Pathology for Operative Planning

Sonourethrogram in comparison with retrograde urethrogram in evaluation of male anterior urethra

Male urogenital disorders

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