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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2012, Number 5

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Rev Mex Urol 2012; 72 (5)

Correlación entre la uretrografía retrógrada y el ultrasonido en el diagnóstico de las estenosis de uretra

Razón-Gutiérrez E, Ugalde-Zink J, Culebro-García C, Villeda-Sandoval CI, Feria-Bernal G, Sotomayor M, Castillejos-Molina RA
Full text How to cite this article

Language: Spanish
References: 9
Page: 230-234
PDF size: 277.27 Kb.


Key words:

Urethral stricture, retrograde urethrocystogram, sonourethrography, Mexico.

ABSTRACT

Background: Generally we refer to urethral stricture as a pathology that affects the anterior urethra. Posterior urethral stricture has different etiologies and is generally secondary to disruption caused by pelvic fracture. The study of choice for evaluation of the urethra has traditionally been retrograde micturating cystourethrography (MCU). McAninch et al. began evaluating the male urethra through sonourethrography (SUG).
Aim: The aim of our study was to compare MCU and SUG in the study of the urethra and to determine their clinical correlation. We retrospectively analyzed patients diagnosed with urethral stricture within the time frame of January 1999 to June 2010 that were registered in our hospital database.
Methods: Nineteen patients with urethral stricture that fit the inclusion criteria were analyzed and the measurements obtained through MCU and SUG were compared.
Results: A correlation coefficient of 0.691 was obtained with a p ‹ 0.001 for the MCU measurements. Our case series produced results that were comparable with those established in the medical literature. The existing correlation between both study methods is good and it is better in strictures that are longer than 2 cm.
Conclusions: MCU and SUG correlation is satisfactory, especially in strictures longer than 2 cm.


REFERENCES

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  3. Fenton AS, Monrey AF, Aviles R, et al. Anterior urethral strictures: etiology and characteristics. Urology 2005;65(6):1055-1058.

  4. Cunninham J. The diagnosis of stricture of the urethra by Roentgen rays. Trans Am Assoc Genitourin Surg 1910;5:369-371.

  5. Morey AF, McAninch JW. Role of preoperative sonourethrography in bulbar urethral reconstruction. J Urol 1997;158(4):1376-1379.

  6. Arda K, Basar M, Deniz E, et al. Sonourethrography in anterior urethral strictures: comparison to radiographic urethrography. Arch Ital Urol Androl 1995;67(4):249-254.

  7. Chiou RK, Anderson JC, Tran T, et al. Evaluation of urethral strictures and associated abnormalities using high-resolution and color doppler ultrasound. Urology 1996;47(1):102-107.

  8. Choudhary S, Singh P, Sundar E, et al. A comparison of sonourethrogaphy and retrograde urethrography in evaluation of anterior urethral strictures. Clin Radiol 2004;59(8):736-742.

  9. Babnik-Pescar D, Visnar-Perovik A. Comparison of radiographic and sonographic urethrography for assessing urethral strictures. Eur Radiol 2004;14(1):137-144.




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Rev Mex Urol. 2012;72