Utility of preoperative examination and magnetic resonance imaging for diagnosis of anterior vaginal wall masses

Asfaw, Tirsit; Greer, Joy A.; Ramchandani, Parvati; Schimpf, Megan O.

doi:10.1007/s00192-012-1666-6

Cited by 5 publications

(5 citation statements)

References 14 publications

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“…However, the utility of imaging extends beyond establishing a diagnosis as it delineates the anatomical configuration of the mass, making it a valuable tool for surgical planning and patient counseling 10 . Though the latter study found 100% sensitivity for MRI diagnosis of UD, 12 the overall accuracy found in our study (75.6%) aligns with other previous studies (70%–79%) 13–15 . This study supports MRI in differentiating underlying etiologies.…”

Section: Discussionsupporting

confidence: 87%

“…10 Though the latter study found 100% sensitivity for MRI diagnosis of UD, 12 the overall accuracy found in our study (75.6%) aligns with other previous studies (70%-79%). [13][14][15] This study supports MRI in differentiating underlying etiologies. Another utility of MRI may be in the follow-up of patients postoperatively, especially in patients with malignant or pre-malignant lesions.…”

Section: Discussionsupporting

confidence: 76%

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

Touma

Yao

Shamout

et al. 2023

Neurourology and Urodynamics

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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.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 76%

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

Touma

Yao

Shamout

et al. 2023

Neurourology and Urodynamics

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“…The size and complexity of a urethral diverticulum and its relationship to surrounding anatomy on MRI can affect surgical management [43][44][45]. The distinction between a urethral diverticulum and a Skene gland cyst or a vaginal wall cyst alters the surgical approach, and risk of complication, and can be made in most cases with MRI [46][47][48]. (See Variants 1-4.…”

Section: Urinary Dysfunctionmentioning

confidence: 98%

ACR Appropriateness Criteria Pelvic Floor Dysfunction

Pannu

Javitt

Glanc

et al. 2015

Journal of the American College of Radiology

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“…По литературным данным, одним из самых высокоинформативных исследований при визуализации этой анатомической области является магнитно-резонансная томография (МРТ) с контрастированием. МРТ, как и трансвагинальное ультразвуковое исследование (УЗИ), успешно используется при визуализации кист и дивертикулов уретры у женщин, а также при оценке степени спонгиофиброза при стриктурах у мужчин [21,[29][30][31][32][33][34][35][36]. Этот метод позволяет детально визуализировать патологические изменения мочеиспускательного канала и вокруг расположенных тканей, и может быть использован в качестве дополнительной неинвазивной диагностики при указанных заболеваниях.…”

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Possibilities of magnetic resonance imagraphy in the diagnosis of inflammatory changes in the paraurethral glands in women.

P.O.,

V.V.,

D.I.

et al. 2024

ECU

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Introduction. Inflammation of the paraurethral glands (skеneitis) is a complex urological disease, often hidden under the guise of other pathological conditions and causing recurrent lower urinary tract infection (UTI) in women. A significant problem for the diagnosis of skineitis at present is the absence or extremely low sensitivity and specificity of available laboratory, instrumental and radiation methods. Thus, the search for new ways to examine patients with recurrent UTI caused by chronic inflammation of the Skene’s glands is an important clinical and socio-economic task of modern healthcare. Materials and methods. The study involved 30 patients aged from 24 to 51 years who underwent magnetic resonance imaging (MRI) of the pelvis with contrast enhancement and targeted examination of the urethra and periurethral area using a device with a 3T fi ld strength. To study the MR semiotics of chronic inflammation of the gallbladder, in addition to standard MR protocols, high-resolution T2-weighted images with a slice thickness of 2 mm and T2-weighted Space 3D images in a sagittal projection with a slice thickness of 1 mm were used. The first group consisted of 16 urologically healthy women without complaints of dysuria, who underwent an assessment of the MRI anatomy of the normal female urethra. MRI of 14 respondents with chronic infl mmation of the paraurethral glands (second group) was performed to search for recurring (natural) changes characteristic of this disease. Such parameters as the diameter of the urethra, the separate thickness of its anterior and posterior walls, clarity at the boundary of the layers, and the presence of pathological changes and formations were studied. Results. Analysis of the obtained tomograms showed that urologically healthy respondents are characterized by symmetrical thickness of the walls of the urethra without pathological formations in it, as well as evenness and clarity of the contour at the boundary of the layers. When studying the results of examination of patients with chronic skeneitis, all of them (100%) noted the following recurring changes: an increase in the diameter of the urethra due to thickening of its posterior wall, in particular the submucosal layer, impaired differentiation at the border of the submucosal and muscular layers, the presence of small cystic changes in the structure of the posterior wall of the urethra (85.7%) or fragmentarily dilated ducts of the urinary tract (14%). Hypertrophy of the bulbospongiosus muscles, detected in 85.7% of respondents in the second group, is likely an indicator of frequent exacerbations and duration of the disease, and can be considered as an additional nonspecific criterion for this disease. Conclusions. These changes can tentatively, given the small sample, be considered pathognomonic MR signs of chronic skineitis. Thus, MRI of the pelvis with a targeted examination of the urethra and periurethral area can help in the differential diagnosis of patients with suspected inflammation of the paraurethral glands, establishing the correct diagnosis and prescribing adequate treatment.

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Utility of preoperative examination and magnetic resonance imaging for diagnosis of anterior vaginal wall masses

Abstract: Preoperative diagnosis using exam, MRI, and cystourethroscopy have a high diagnostic accuracy for anterior vaginal wall masses.

Cited by 5 publications

References 14 publications

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

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

ACR Appropriateness Criteria Pelvic Floor Dysfunction

Possibilities of magnetic resonance imagraphy in the diagnosis of inflammatory changes in the paraurethral glands in women.

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