The role of magnetic resonance imaging in the diagnosis of stricture disease of the male urethra


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The article presents a comprehensive study of 121 patients with stricture disease of the male urethra. Diagnosis and staging of the disease were made on the basis of medical imaging, namely retrograde urethrography, voiding cystourethrography and magnetic resonance imaging with complex pulse sequences developed by the authors. The results were compared with surgical findings and morphological study of surgical specimens. Detailed semiotics of magnetic resonance imaging of stricture disease, differences in the visualization of traumatic and inflammatory strictures of various locations, as well as features of primary and recurrent lesions are described. Detailed analysis of the data shows significant advantages of MRI in identifying stricture disease of the male urethra over traditional methods of endoscopic visualization. It makes possible to increase the diagnostic accuracy for detection of the disease and better surgical planning strategy.

Full Text

Restricted Access

About the authors

V. I Dombrowski

SBEI HPE «Rostov State Medical University» of Minzdrav of Russia

M. I Kogan

SBEI HPE «Rostov State Medical University» of Minzdrav of Russia

Ph.D., Prof., Head of Department of Urology and Human Reproductive Health with Course of Pediatric Urology-Andrology RostSMU

E. L. Banchik

SBEI HPE «Rostov State Medical University» of Minzdrav of Russia

V. V Mitusov

SBEI HPE «Rostov State Medical University» of Minzdrav of Russia

References

  1. Campbell-Walsh Urology. A.J. Wein, L.R. Kavoussi, A.C. Novick, eds. 10th ed. Philadelphia: Saunders, 2012. 3831 p.
  2. Latini J.M., McAninch J.W., Brandes S.B. Chung J.Y., Rosenstein D. SIU/ ICUD Consultation on Urethral Strictures: Epidemiology, Etiology, Anatomy and Nomenclature of Urethral Disruption Injuries. Urology. 2014;83(3):S1-S7.
  3. Коган М.И. Современные методы лечения стриктуры уретры. Материалы пленума правления Российского общества урологов. Екатеринбург, 2006. С. 271-281.
  4. Коган М.И., Лебедев С.А., Реслан М.А., Перепечай В.А., УсалевВ.Н. Диагностика и лечение стриктур уретры. Андрология и генитальная хирургия 2001;1:98-102.
  5. Коган М.И. Стриктуры уретры у мужчин. Реконструктивновосстановительная хирургия. М.: Практическая медицина, 2010. 143 с.
  6. Kawashima A., Sandler C.M., Wasserman N.F., LeRoy A.J., King B.F., Goldman S.M. Imaging of Urethral Disease: A Pictorial Review. RadioGraphics. 2004;24(1):S195-S216.
  7. Song L., Xie M, Zhang Y. Xu Y. Imaging techniques for the diagnosis of male traumatic urethral strictures. J. Xray Sci. Technol. 2013;21(1):111-123.
  8. Angermeier K.W., Rourke K.F., Dubey D., Forsyth R.J., Gonzalez C.M. SIU/ICUD Consultation on Urethral Strictures: Evaluation and follow-up. Urology. 2014;83(3):S8-S17.
  9. Аляев Ю.Г., Терновой С.К., Григорян В.А., Газимиев М.А., Фоминых Е.В., Савельев С.Н. Современные возможности
  10. Gupta S., Majumdar B., Tiwari A., Gupta R.K., Kumar A., Gujral R.B. Sonourethrography in the evaluation of anterior urethral strictures: correlation with radiographic urethrography. J. Clinical Ultrasound. 1993;21(4):231-239.
  11. Choudhary S, Singh P., Sundar E., Kumar S., Sahai A. A comparison of sonourethrography and retrograde urethrography in evaluation of anterior urethral strictures. J. Clinical Radiology. 2004;59(8):736-742.
  12. Di Girolamo M., Trucchi A., Mariani S., Muscogiuri G., Casazza I., David V. Urinary bladder neck dysfunction in male patients: evaluation with MRI and with voiding MR- cystourethrography. Insights Imaging. 2013;4(1):S308.
  13. Sung D.J., Kim Y.H., Cho S.B., Oh Y.W., Lee N.J., Kim J.H., Chung K.B., Moon du G., Kim J.J. Obliterative Urethral Stricture: MR Urethrography versus Conventional Retrograde Urethrography with Voiding Cystourethrography. Radiology. 2006;240(3):842-848.
  14. Choi M.H., Kim B., Ryu J.A., Lee S.W., Lee K.S. MR Imaging of Acute Penile Fracture. RadioGraphics. 2000;20(5):1397-1405.
  15. Osman Y., El-Ghar M.A., Mansour O., Refaie H., El-Diasty T. Magnetic Resonance Urethrography in Comparison to Retrograde Urethrography in Diagnosis of Male Urethral Strictures: Is It Clinically Relevant? Eur. Urol. 2006;50(3):587-594.
  16. El-Ghar M.A, Osman Y., Elbaz E., Refiae H., El-Diasty T. MR Urethrogram versus combined retrograde urethrogram and sonourethrography in diagnosis of urethral stricture. Eur. J. Radiol. 2010;74 (3):e193-e198.
  17. Банчик Э.Л., Митусов В.В., Домбровский В.И., Коган М.И. Динамическая магнитно-резонансная томография в диагностике заболеваний уретры у мужчин (комплекс импульсных последовательностей). Вест. рентген. и радиол. 2013;4:33-40.
  18. Банчик Э.Л., Домбровский В.И., Коган М.И., Митусов В.В., Минеев Н.И. Способ комплексной диагностики заболеваний нижних мочевыводящих путей и окружающих тканей у мужчин. Патент № 2012117714/14 от 20.09.2012.
  19. Банчик Э.Л., Минеев Н.И., Митусов В.В., Домбровский В.И., Коган М.И. Магнитно-резонансная томография полового члена. Нормальная анатомия. Вест. рентген. и радиол. 2012;5:30-38.
  20. Гланц С. Медико-биологическая статистика. Пер. с англ. М.: Практика, 1999. 459 с.

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies