Cross-sectional imaging of the female urethra: Technique and results

Srinivasa R. Prasad, Christine O. Menias, Vamsi R. Narra, William D. Middleton, Govind Mukundan, Nayer Samadi, Jay Heiken, Cary L. Siegel

Research output: Contribution to journalReview article

47 Citations (Scopus)

Abstract

Clinical assessment of women with urethral symptoms is difficult, necessitating further evaluation with imaging. Urethrography provides limited information on luminal abnormalities of the urethra. Recent advances in ultrasound (US) and magnetic resonance (MR) imaging have dramatically improved evaluation of the female urethra, clarifying findings at physical examination and providing accurate road maps for surgeons. High-resolution transvaginal US, transperineal US, and transurethral US are reliable techniques for diagnosis and characterization of urethral abnormalities. High-resolution multiplanar MR imaging with phased-array pelvic and endovaginal coils demonstrates the urethral anatomy in greater detail. In women with urethral diverticula, US and MR imaging demonstrate the number of diverticula and the location, size, configuration, and possible contents of the sac. Most important, the position of the neck of the diverticulum may be identified for the surgeon. Imaging features do not allow differentiation between histologic subtypes of urethral carcinoma; the diagnosis is established with histopathologic examination. Periurethral cysts do not communicate with the urethra and therefore can often be differentiated from urethral diverticula at endocavitary MR imaging. High-resolution multiplanar US and MR imaging allow comprehensive evaluation of abnormalities of the female urethra.

Original languageEnglish (US)
Pages (from-to)749-761
Number of pages13
JournalRadiographics
Volume25
Issue number3
DOIs
StatePublished - Jan 1 2005
Externally publishedYes

Fingerprint

Urethra
Diverticulum
Magnetic Resonance Imaging
Physical Examination
Cysts
Anatomy
Neck
Carcinoma
Surgeons

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Prasad, S. R., Menias, C. O., Narra, V. R., Middleton, W. D., Mukundan, G., Samadi, N., ... Siegel, C. L. (2005). Cross-sectional imaging of the female urethra: Technique and results. Radiographics, 25(3), 749-761. https://doi.org/10.1148/rg.253045067

Cross-sectional imaging of the female urethra : Technique and results. / Prasad, Srinivasa R.; Menias, Christine O.; Narra, Vamsi R.; Middleton, William D.; Mukundan, Govind; Samadi, Nayer; Heiken, Jay; Siegel, Cary L.

In: Radiographics, Vol. 25, No. 3, 01.01.2005, p. 749-761.

Research output: Contribution to journalReview article

Prasad, SR, Menias, CO, Narra, VR, Middleton, WD, Mukundan, G, Samadi, N, Heiken, J & Siegel, CL 2005, 'Cross-sectional imaging of the female urethra: Technique and results', Radiographics, vol. 25, no. 3, pp. 749-761. https://doi.org/10.1148/rg.253045067
Prasad SR, Menias CO, Narra VR, Middleton WD, Mukundan G, Samadi N et al. Cross-sectional imaging of the female urethra: Technique and results. Radiographics. 2005 Jan 1;25(3):749-761. https://doi.org/10.1148/rg.253045067
Prasad, Srinivasa R. ; Menias, Christine O. ; Narra, Vamsi R. ; Middleton, William D. ; Mukundan, Govind ; Samadi, Nayer ; Heiken, Jay ; Siegel, Cary L. / Cross-sectional imaging of the female urethra : Technique and results. In: Radiographics. 2005 ; Vol. 25, No. 3. pp. 749-761.
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