Value of transrectal ultrasonography in female traumatic urethral injuries

Urology
Tao YingBing Hu

Abstract

To estimate the value of transrectal ultrasonography (TRUS) in traumatic urethral injuries of various types in females. A total of 30 female patients with symptoms of urethral injuries after trauma underwent TRUS between January 2005 and July 2008. Of them, 28 patients with operative indications undertook operation; the other 2 received conservative management and then a follow-up ultrasonography. All outcomes were used to validate the results of TRUS. Urethral injuries were clearly observed in 30 cases with TRUS. The continuity of urethral wall, unblocking of urethral lumen, and homogeneous echo of surrounding structures had been changed. Urethral injuries varied in types, including urethrovaginal fistula, urethral stricture, urethral rupture, and urethral hematoma. It was common to find several injury patterns simultaneously in 1 patient. The outcomes in 28 cases with operative indications were consistent with results of surgery. The other 2 cases were diagnosed as urethral hematoma by TRUS which disappeared in a follow-up sonography after 3 months' conservative management. TRUS is a reliable technique to exhibit abnormalities in injured urethra associated with trauma in female.

References

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Citations

Jul 7, 2012·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Erich K LangMatthew H Smith
Jan 21, 2017·Female Pelvic Medicine & Reconstructive Surgery·Xia WangTao Ying
Apr 25, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Xia WangTao Ying
Jan 11, 2022·International Urogynecology Journal·Xia WangTao Ying

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