AJR Women's Imaging Online
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kim, B.
Right arrow Articles by Tanagho, E. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kim, B.
Right arrow Articles by Tanagho, E. A.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

American Journal of Roentgenology, Vol 161, 809-815, Copyright © 1993 by American Roentgen Ray Society

ARTICLES

Diagnosis of urethral diverticula in women: value of MR imaging

B Kim, H Hricak and EA Tanagho
Department of Radiology, University of California, San Francisco 94143.

OBJECTIVE. The purpose of this study was to determine the role of MR imaging in the diagnosis of urethral diverticula in women. SUBJECTS AND METHODS. In 20 patients (mean age, 47 years), MR imaging was performed (1.5-T); unenhanced T1-weighted and T2-weighted images and contrast- enhanced T1-weighted images were obtained. MR imaging findings were compared with findings on urethrograms (including voiding cystourethrograms or double balloon catheter studies) in 16 patients, urethroscopic findings in 18, and surgical findings in 13. MR images were assessed for the presence, size, number, and location (anterior or posterior to the urethral lumen and relationship to the neck of the bladder) of diverticula, visualization of ostia, and presence of any concomitant complications. Sixteen of 20 patients had urethral diverticula: uncomplicated (simple) urethral diverticula in 13 patients; a diverticulum with a stone in one; a diverticulum with chronic granulation in one; and a diverticulum with adenocarcinoma in one. In the remaining four patients, the diagnoses included Gartner's duct cyst (one) and paraurethral cyst (one); urethras were deemed to be normal in two. RESULTS. In 13 patients who had surgery, MR images correctly showed the presence or absence of diverticula, whereas urethrography was correct in nine (69%) and urethroscopy in 10 (77%). Compared with surgical findings (20 diverticula in 12 patients), MR images depicted 14 (70%) of 20 diverticula and urethrography and urethroscopy each depicted 11 (55%) of 20. The ostium of the diverticulum could not be identified on MR images. The use of MR contrast material did not contribute to lesion detection, but the enhanced images were superior to unenhanced images in showing granulation tissue and carcinoma, although they did not help in their differentiation. CONCLUSION. MR imaging is accurate for showing urethral diverticula, but owing to its high cost, it should be considered only when urethroscopic or urethrographic findings are equivocal or when patients are unable to undergo these procedures and clinical findings strongly suggest a urethral diverticulum.
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 ImagingHome page
J Eaton and J Richenberg
Imaging of the urethra: current status
Imaging, October 1, 2005; 17(2): 139 - 149.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
S. H. Kim, S. H. Kim, B. K. Park, S. Y. Jung, S. I. Hwang, J.-S. Paick, and S. W. Kim
CT Voiding Cystourethrography Using 16-MDCT for the Evaluation of Female Urethral Diverticula: Initial Experience
Am. J. Roentgenol., May 1, 2005; 184(5): 1594 - 1596.
[Full Text] [PDF]

Home page
 RadioGraphicsHome page
S. R. Prasad, C. O. Menias, V. R. Narra, W. D. Middleton, G. Mukundan, N. Samadi, J. P. Heiken, and C. L. Siegel
Cross-sectional Imaging of the Female Urethra: Technique and Results
RadioGraphics, May 1, 2005; 25(3): 749 - 761.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
E. Kuligowska, L. Deeds III, and K. Lu III
Pelvic Pain: Overlooked and Underdiagnosed Gynecologic Conditions
RadioGraphics, January 1, 2005; 25(1): 3 - 20.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
A. Kawashima, C. M. Sandler, N. F. Wasserman, A. J. LeRoy, B. F. King Jr, and S. M. Goldman
Imaging of Urethral Disease: A Pictorial Review
RadioGraphics, October 1, 2004; 24(suppl_1): S195 - S216.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
W. Y. Hahn, G. M. Israel, and V. S. Lee
MRI of Female Urethral and Periurethral Disorders
Am. J. Roentgenol., March 1, 2004; 182(3): 677 - 682.
[Full Text] [PDF]

Home page
 Obstet GynecolHome page
B. Vakili, C. Wai, and M. Nihira
Anterior Urethral Diverticulum in the Female: Diagnosis and Surgical Approach
Obstet. Gynecol., November 1, 2003; 102(5): 1179 - 1183.
[Abstract] [Full Text] [PDF]

Home page
 J Ultrasound MedHome page
J.-B. Liu, L. S. Miller, D. H. Bagley, and B. B. Goldberg
Endoluminal Sonography of the Genitourinary and Gastrointestinal Tracts
J. Ultrasound Med., March 1, 2002; 21(3): 323 - 337.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
J.-a. Ryu and B. Kim
MR Imaging of the Male and Female Urethra
RadioGraphics, September 1, 2001; 21(5): 1169 - 1185.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1993 by the American Roentgen Ray Society.