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MRI of Female Urethral and Periurethral Disorders

¹ All authors: MRI Department, New York University Medical Center, 530 First Ave., Basement Schwartz Bldg., New York, NY 10016.

View larger version (145K): [in a new window]   Fig. 1A. —42-year-old woman with normal urethra. Axial (A) and sagittal (B) T2-weighted turbo spin-echo images show normal bull's eye appearance of urethra (arrows).

View larger version (133K): [in a new window]   Fig. 1B. —42-year-old woman with normal urethra. Axial (A) and sagittal (B) T2-weighted turbo spin-echo images show normal bull's eye appearance of urethra (arrows).

View larger version (122K): [in a new window]   Fig. 2. —25-year-old woman with normal urethra. Enhanced axial T1-weighted fat-suppressed gradient-echo image shows normal bull's eye appearance of urethra (arrows).

View larger version (121K): [in a new window]   Fig. 3A. —48-year-old woman with dribbling after voiding. Axial T2-weighted turbo spin-echo image shows portion of urethral diverticulum (solid straight arrows) posterior to urethral lumen (open arrow). Note neck of diverticulum (curved arrow).

View larger version (137K): [in a new window]   Fig. 3B. —48-year-old woman with dribbling after voiding. Sagittal T2-weighted turbo spin-echo image shows mid-urethral location of urethral diverticulum (arrow) at level of pubic symphysis.

View larger version (157K): [in a new window]   Fig. 4. —68-year-old woman with dysuria. Axial T2-weighted turbo spin-echo image shows complex urethral diverticulum surrounding urethra (straight black arrow). Note displacement of urethral–pelvic ligaments (white arrows) and septation in diverticulum (curved black arrow).

View larger version (143K): [in a new window]   Fig. 5. —47-year-old woman with recurrent urinary tract infections. Axial T2-weighted turbo spin-echo image shows two calculi (solid white arrows) in urethral diverticulum. Note diffuse urethral wall thickening (black arrow) that was proven to be squamous cell carcinoma. Neck (open arrow) of diverticulum is well seen. (Reprinted with permission from [5])

View larger version (133K): [in a new window]   Fig. 6A. —60-year-old woman with urethral pain. (Courtesy of Veniero JC, Cleveland, OH) Sagittal T2-weighted turbo spin-echo image shows urinary catheter (long arrow) in urethra. Urethral diverticulum (short solid arrow) contains mass (open arrow) of intermediate signal intensity.

View larger version (136K): [in a new window]   Fig. 6B. —60-year-old woman with urethral pain. (Courtesy of Veniero JC, Cleveland, OH) Enhanced axial T1-weighted fat-suppressed gradient-echo image shows enhancing soft-tissue mass (white arrows) in urethral diverticulum surrounding urinary catheter (black arrow). Pathology revealed adenocarcinoma.

View larger version (131K): [in a new window]   Fig. 7A. —45-year-old woman with painful periurethral mass. Sagittal T2-weighted turbo spin-echo image shows small cystic lesion (arrow) at urethral meatus that was proven to be abscess of Skene's gland.

View larger version (117K): [in a new window]   Fig. 7B. —45-year-old woman with painful periurethral mass. Axial T2-weighted turbo spin-echo image shows abscess (arrow) to be located to right of external urethral meatus in expected location of Skene's glands.

View larger version (132K): [in a new window]   Fig. 8A. —65-year-old woman with history of stress incontinence and periurethral collagen injection. Sagittal (A) and axial (B) T2-weighted turbo spin-echo images show periurethral mass (arrow) at right aspect of bladder base (B in B). Although mass could be urethral diverticulum, its location and signal intensity are atypical, so knowledge of history of prior procedure is critical to correct diagnosis.

View larger version (114K): [in a new window]   Fig. 8B. —65-year-old woman with history of stress incontinence and periurethral collagen injection. Sagittal (A) and axial (B) T2-weighted turbo spin-echo images show periurethral mass (arrow) at right aspect of bladder base (B in B). Although mass could be urethral diverticulum, its location and signal intensity are atypical, so knowledge of history of prior procedure is critical to correct diagnosis.

View larger version (94K): [in a new window]   Fig. 9A. —42-year-old woman with mass palpated on routine physical examination that was proven to be cyst of Gartner's duct. (Reprinted with permission from [5]) Sagittal T2-weighted turbo spin-echo image shows ovoid cystic mass (arrow) posterior to urinary bladder and in region of vagina.

View larger version (131K): [in a new window]   Fig. 9B. —42-year-old woman with mass palpated on routine physical examination that was proven to be cyst of Gartner's duct. (Reprinted with permission from [5]) Axial T2-weighted turbo spin-echo image confirms location of mass (arrow) in vagina.

View larger version (163K): [in a new window]   Fig. 10A. —51-year-old woman with dyspareunia and pathologically proven cyst of Bartholin's gland. Sagittal T2-weighted turbo spin-echo image shows cystic mass (arrow) inferior to pubic symphysis.

View larger version (157K): [in a new window]   Fig. 10B. —51-year-old woman with dyspareunia and pathologically proven cyst of Bartholin's gland. Axial T2-weighted turbo spin-echo image shows mass (arrow) to be associated with left labia majora, which is consistent with cyst of Bartholin's gland.

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