Ultrasound evaluation of the male urethra for assessment of urethral stricture

✍ Scribed by Morey, Allen F.; McAninch, Jack W.

• Publisher: John Wiley and Sons
• Year: 1996
• Tongue: English
• Weight: 796 KB
• Volume: 24
• Category: Article
• ISSN: 0091-2751
• DOI: 10.1002/(sici)1097-0096(199610)24:8<473::aid-jcu7>3.0.co;2-h

✦ Synopsis

Radiographic retrograde urethrography has traditionally been the pre- ferred technique used by urologists to image the anterior urethra. Since originally described by McAninch in 1988, ultrasonic imaging of the urethra has evolved into a powerful and clinically useful tool for the accurate delineation of urethral pathology. Although posterior urethral and peri-urethral fibrosis cannot be assessed reliably using this technique, sono-urethrography has proven to be more accurate than conventional radiographic urethrography in measuring stricture length throughout the anterior urethra. Herein we describe the evolution of sono-urethrography, explain its many advantages over traditional imaging techniques, and show clinical examples of its importance in guiding the successful reconstruction of urethral strictures, particularly in the bulbar area.