Abstract
To assess the value of urethral sonography including a perineal approach in evaluating urethral anomalies in infants. A radiology database review identified 88 patients (mean age +/- SD, 64 +/- 84 days) who underwent voiding cystourethrography (VCUG) and urethral sonography as part of extended sonography of the urinary tract. Sonographic and VCUG images and reports were reviewed to assess agreement between both modalities for detection of urethral anomalies. Sonography facilitated the correct diagnosis of all 3 posterior urethral valves. The only urethral diverticulum, the only ectopic ureteric insertion into the urethra, the only urogenital sinus, and the only urethrovaginal fistula were also shown on sonography. In 73 (94%) of 78 cases, sonography correctly showed the absence of anomalies. In 5 infants, sonography could not reliably assess the urethra and showed indirect signs of urethral anomalies; however, these patients had normal urethras on VCUG. Our data show that sonography of the urethra is a valuable tool for diagnosis of urethral anomalies. Especially, negative findings on sonography are highly suggestive of the absence of urethral anomalies. Positive or equivocal sonographic findings should indicate VCUG.
References
Jul 1, 1992·The Journal of Urology·W C HulbertH M Snyder
Aug 1, 1992·The Journal of Urology·J S ElderR A Weiss
Sep 1, 1986·Radiographics : a Review Publication of the Radiological Society of North America, Inc·R I MacphersonW R Turner
Dec 1, 1986·Radiology·R FotterE Uray
Feb 1, 1985·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·W K HoddickP W Callen
Jul 1, 1983·The British Journal of Radiology·B J Cremin, I A Aaronson
Aug 1, 1981·British Journal of Urology·J E Scott
Mar 1, 1994·Archives of Disease in Childhood. Fetal and Neonatal Edition·G MarraM L Caccamo
Jul 1, 1994·Radiology·H L CohenD L Zinn
Feb 1, 1996·Radiology·C D GoodC Dicks-Mireaux
May 1, 1997·AJR. American Journal of Roentgenology·R L Teele, J C Share
Dec 24, 1997·The British Journal of Radiology·E F AvniC C Schulman
Jun 20, 1998·Pediatric Radiology·M Bosio
Jun 20, 1998·The Urologic Clinics of North America·P P Reddy, J Mandell
Jan 14, 1999·Radiology·K DargeB Toenshoff
Nov 1, 2001·Radiology·T BerrocalG J Lonergan
Jul 20, 2002·European Journal of Radiology·M RiccabonaM Sinzig
Jul 20, 2002·European Journal of Radiology·Michael Riccabona
Sep 10, 2002·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·S Boopathy Vijayaraghavan
Nov 20, 2002·European Radiology·Michael Riccabona
Jul 2, 2003·European Radiology·Alejandro MatéMaria José Bello
Citations
May 1, 2010·Pediatric Radiology·Michael Riccabona
Nov 5, 2015·La Radiologia medica·Michael Riccabona
Oct 12, 2017·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Carmina DuranJavier Del Riego
Dec 7, 2017·Frontiers in Pediatrics·Rogier SchroederTom de Jong
Apr 22, 2010·Pediatric Radiology·Kassa DargeMichael Riccabona
Nov 10, 2013·Pediatric Radiology·Jennifer K Son, George A Taylor
Oct 14, 2008·European Radiology·L BreysemM-H Smet
May 19, 2009·Pediatric Radiology·Michael Riccabona
Feb 3, 2012·European Journal of Radiology·S M MansourD M Ahmed