|
| Transperineal Ultrasonographic Findings of Female Urethral Dive rticulum |
|
| Jin Han Cho, M.D. Bong Sik Ko o, M.D., Ki Dong Nam, M.D.,Jong Cheol Choi, M.D., Byeong Ho Park, M.D., Kyung Jin Nam, M.D.,Heon Young Kweon, M.D. |
|
| Department of Diagnostic Radiology, Dong-A University College of Medicine, Department of Urology, Dong-A University College of Medicine |
|
| PURPOSE : The purpose of this study was to explore the role of sonography for women with a suspected urethral di-verticulum
and to evaluate the transperineal ultrasonographic findings of female urethral diverticulum.
MATERIALS and METHODS :Eight women (mean age, 44 years) who presented with urethral symptoms and clinically
suspected urethral diverticula underwent transperineal ultrasonography; sagittal and coronal images were ob-tained.
Sonography was done with either a 7-5MHz curved array transducer or 10-5MHz linear transducer,
placed on the perineum at the level of the urethra. Ultrasonograms were assessed for the presence, size, location,
shape, echogenicity, and septum. Five patients underwent voiding cystourethrography(VCUG). Results of the
sonograms and VCUGs were compared with each other and with surgical findings.
RESULTS : Longitudinally, all lesions were located in a middle third of the urethra. In axial plane, 4 diverticula
wrapped around 50-100% of the urethra, 3 cases located posteriorly, and 1 case laterally. Seven diverticula con-tained
echogenic debris. Three cases have septa in the diverticulum. The outer margin of the diverticula was s-mooth
in 2 patients and was lobulated in 6 patients. In 3 of 5 cases who underwent VCUG, diverticula were
filled with contrast, and appeared to be smaller than those of ultrasonography. In addition, all were single diver-ticulum
in VCUG.
CONCLUSION : Most urethral diverticulum were located in a middle third of the urethra, wrapped around the urethra
or found posteriorly. Many cases appear unilocular or multilocular with echogenic debris. Transperineal ultra-sonography
is easy to operate and accurate for showing urethral diverticulum, and it may be useful for diagnos-ing
this group of women with urethral symptoms and suspected urethral diverticulum. It provides information
on the extent and location of the diverticulum, which are important in surgical excision. |
|
| Keyword : Urethra, US, Urethra, diverticula |
|
pdf파일 : 175조진한.pdf 
|
|
> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 1999 ; 18 (3) : p.175-181
