RESUMEN
The results of a study using sonographic urethrography, radiologic retrograde urethrography and urethroscopy to evaluate 11 different types of non-stenotic lesions of the urethra are presented. Sonographic urethrography accurately diagnosed all of the findings and radiologic retrograde urethrography had 7 false negatives. Based on the foregoing results, we advocate the use of sonographic urethrography as a valid alternative in the evaluation of non-stenotic urethral lesions.
Asunto(s)
Enfermedades Uretrales/diagnóstico por imagen , Reacciones Falso Negativas , Humanos , Pólipos/diagnóstico por imagen , Valor Predictivo de las Pruebas , Radiografía , Ultrasonografía , Neoplasias Uretrales/diagnóstico por imagenRESUMEN
The present study describes the ultrasound control of water dilatation for urethral stenosis. In our view, the door is open to future developments of water dilatation protocols for urethral strictures.
Asunto(s)
Cateterismo , Estrechez Uretral/terapia , Cateterismo/métodos , Humanos , Ultrasonografía , Estrechez Uretral/diagnóstico por imagenRESUMEN
Analysis of 10 fistulae in 9 patients, all male. The etiology was diverse although there was a predominance of colovesical diverticulitis. Mictional urinary symptomatology was most frequent. In one case symptoms had been first referred 10 months earlier, while the others ranged between 24 hours and 15 days. Cystography was the radiological procedure which diagnosed more cases whereas cystoscopy was the endoscopic procedure which provides more data. Seven fistulae were treated surgically, in 5 instances with curative and 2 with palliative purposes. Three cases were subsidiary to surgery. 44.4% of patients died within one month from diagnosis.
Asunto(s)
Enfermedades del Colon , Fístula Intestinal , Fístula de la Vejiga Urinaria , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Niño , Enfermedades del Colon/diagnóstico , Enfermedades del Colon/etiología , Enfermedades del Colon/cirugía , Estudios de Seguimiento , Humanos , Fístula Intestinal/diagnóstico , Fístula Intestinal/etiología , Fístula Intestinal/cirugía , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Fístula de la Vejiga Urinaria/diagnóstico , Fístula de la Vejiga Urinaria/etiología , Fístula de la Vejiga Urinaria/cirugíaRESUMEN
Using ultrasound scan urethrography (U.S.U.) and radiological retrograde urethrography (R.U.), the anterior urethra has been studied in 61 males in an attempt to establish the best technique to perform U.S.U. and to compare it, from the technical point of view, with R.U. U.S.U. should be made retrogradely filling the urethra with a saline solution, under direct ultrasound guidance, which allows to see the anterior urethra, from the syringe come introduced into the glandular urethra up to the urogenital diaphragm and the beginning of the membranous urethra. Overall, U.S.U. is faster to perform than R.U., nine times cheaper, more comfortable for the patient, and there is no risk of exposure to irradiation or radiological markers.