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

Fontana, Dario; Porpiglia, Francesco; Morra, Ivano; Destefanis, Paolo

doi:10.7863/jum.1999.18.3.237

Cited by 26 publications

(10 citation statements)

References 12 publications

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“…In the present series, 11 women had their urethral pressure profile assessed and of these, only six had the classical biphasic curve associated with a UD [8,9]. Ultrasonography of the urethra can be either transvaginal, transperineal or transurethral [10–12]; whilst all these methods can visualize a periurethral lesion they are all operator‐dependent and it can be difficult to differentiate between a UD and other cystic lesions. Initial studies supported this [11], although a more recent study suggested that ultrasonography may be as effective as VCUG for identifying UD, but more effective than VCUG for visualizing the diverticular neck [12].…”

Section: Discussionmentioning

confidence: 99%

Urethral diverticula: a diagnostic dilemma

Rufford

Cardozo

2004

BJU International

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from presentation to diagnosis was 9.5 (2-96) months. The symptoms before surgery were variable; after surgery there were significant improvements in the symptoms of frequency, terminal dribbling and recurrent urinary tract infections ( P < 0.05). There was no improvement in urgency, urge incontinence, nocturia and stress incontinence. Eleven of the 18 diverticula were palpable on vaginal examination. Video cysto-urethrography was used in 15 women and the diverticulum was seen in 14. In addition, seven women had additional lower urinary tract pathology. CONCLUSIONSUrethral diverticula have no classical presentation; they often present with many symptoms and it is important that the diagnosis is not overlooked. Video cystourethrography is a good diagnostic test and allows the simultaneous evaluation of function of the whole of the lower urinary tract.

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Section: Discussionmentioning

confidence: 99%

Urethral diverticula: a diagnostic dilemma

Rufford

Cardozo

2004

BJU International

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“…This exam permitted the diagnosis of large diverticula without communication with the urethral lumen and palpable mass effect and provided a complete evaluation of anatomical risk factors, like size, contents, shape and location [14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Preoperative Risk Factors for Surgery of Female Urethral Diverticula

et al. 2002

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Introduction: This study describes the authors’ experience about the most important risk factors in surgical treatment of female urethral diverticula. The attention is focused on the correlation between risk factors and common severe complications after surgical treatment. Patients and Methods: Eighteen women underwent transvaginal diverticulectomy from 1990 to December 2000. Voiding cystourethrography and transvaginal ultrasonography were performed preoperatively. As far as location is concerned, 10 women developed a mid-urethral diverticula, the remaining had diverticula equally distributed over the distal and proximal urethra. Ten diverticula showed a posterior development, 6 a lateral one and 2 diverticula had horseshoe shape. In 6 cases, diverticulum was larger than 4 cm. Results: Follow-up ranged from 44 to 121 months. We recorded one urethrovaginal fistula, two genuine stress incontinence of new onset, associated in one case with recurrent diverticulum, and one recurrent diverticulum as major complications. Conclusions: The most important risk factors, evaluated with a statistical analysis, are represented by delayed diagnosis, size over 4 cm, and lateral or horseshoe shape of the diverticulum.

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“…D'autre part, elle nécessite des manipulations qui peuvent être source de traumatisme urétral ou d'infection [2]. L'échographie transvaginale peut aussi être un examen rentable dans le diagnostic de pathologie urétrale [3]. L'IRM pelvienne est beaucoup plus performante pour définir l'anatomie et la complexité du diverticule, elle permet de préparer l'intervention chirurgicale d'autant plus que la reconstruction urétrale peut être difficile, en particulier en cas de diverticule circonférentiel [4].…”

Section: Discussionunclassified

Urethral diverticulum revealed by postmicturition incontinence

Demesmaeker

Ciofu

2006

Pelv Perineol

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Un cas de diverticule urétral révélé par une incontinence urinaire postmictionnelle est rapporté. L'écho-graphie vaginale, la cystographie et l'IRM permettent de préciser le diagnostic. Mot clé : diverticule urétral Urethral diverticulum revealed by postmicturition incontinenceAbstract: A case of urethral diverticulum revealed by postmicturition incontinence is reported. Transvaginal ultrasonography, cystography and pelvic MRI precise the diagnosis.

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

Cited by 26 publications

References 12 publications

Urethral diverticula: a diagnostic dilemma

Urethral diverticula: a diagnostic dilemma

Preoperative Risk Factors for Surgery of Female Urethral Diverticula

Urethral diverticulum revealed by postmicturition incontinence

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