COMPARISION OF SONOURETHROGRAPHY AND RETROGRADE URETHROGRAPHY IN ANTERIOR URETHERAL STRICTURES TAKING SURGICAL FINDINGS AS GOLD STANDARD

Ameet Jesrani; Syed Muhammad Faiq; Manzoor Hussain; Ameet Lalwani; Muhammad Farid; Muhammad Saad

COMPARISION OF SONOURETHROGRAPHY AND RETROGRADE URETHROGRAPHY IN ANTERIOR URETHERAL STRICTURES TAKING SURGICAL FINDINGS AS GOLD STANDARD

Ameet Jesrani, Syed Muhammad Faiq, Manzoor Hussain, Ameet Lalwani, Muhammad Farid, Muhammad Saad

Abstract

Background: Previously retrograde uretherography and micturating cystouretherography were used for the evaluation of uretheral strictures. Lack of radiation, ability to assess mucosal and periuretheral abnormality and more precise measurement of stricture length makes the sonouretherography an alternative to conventional uretherography in evaluation of anterior urethral strictures

Objective: To compare the difference between sonouretherography and fluoroscopic guided uretherography in characterization of anterior urethral strictures taking surgical findings as gold standard

Methods: Total 50 male patients having lower urinary tract symptoms (thin streak of micturation or interrupted micturation) for 1 week or longer were included in this cross sectional study from September 2019 to February 2020. Patient’s history and demographic details like patient’s age was noted. Sonouretherographic studies were performed using high frequency probe while injecting saline solution through 10 F Foley’s catheter with bulb inflated in fossa navicularis. Anterior urethra was visualized up to the penoscrotal junction with multiple longitudinal and transverse scans by placing the transducer on the ventral surface of penis. The findings of sonouretherography were compared with retrograde uretherogram and surgical findings and recorded on proforma.

Results: The average age of the patients was 37.22±11.09 years. The sensitivity, specificity, PPV and NPV and accuracy of sonouretherography for detection of anterior urethral stricture was 77.7%, 96.8%%, 93.3% and 88.57% respectively.

Conclusion: Sonouretherography can be used as an alternative to retrograde uretherography in the diagnosis and characterization of anterior uretheral strictures without hazards of ionization radiation.

Key words: Sonouretherography, Retrograde Uretherography,

Surgical findings, Urethral strictures

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References

REFERENCES:

Hussain M, Askari H, Lal M, Naqvi SA, Rizvi SA. Experience at a stricture clinic in a developing country. J Pak Med Assoc. 2013;63:234-8.

Mundy AR, Andrich DE. Urethral strictures. BJU Int. 2011 Jan;107(1):6-26.

Hampson LA, McAninch JW, Breye BN. Male urethal strictures and their management. Nat Rev Urol. 2014 Jan:11(1):43–50.

Brandes SB, Morey AF. Advanced male urethral and genital reconstructive surgery. New York: Humana Press; 2014. 95-101.

Palminteri E, Berdondini E, Verze P, De Nunzio C, Vitarelli A, Carmignani L. Contemporary urethral stricture characteristics in the developed world. Urology. 2013;81:191-6.

Anger JT, Santucci R, Grossberg AL, Saigal CS. The morbidity of urethral stricture disease among male medicare beneficiaries. BMC Urol. 2010;10:3.

Ani CC, Akpayak IC, Dakum NK, Ramyil VM, Shuaibu SI. Sonourethrography in the evaluation of anterior urethral stricture. J West Afr Coll Surg. 2012 Jan-Mar;2(1):1–13.

Hatgaonkar A. A comparative study of sonourethrography and retrograde urethrography in evaluation of anterior male urethral strictures. Int J Sci Stud. 2014 May;2(2):5-12.

Gupta N, Dubey D, Mandhani A, Srivastava A, Kapoor R, Kumar A. Urethral stricture assessment: a prospective study evaluation urethral ultrasonography and conventional radiological studies. BJU Int. 2006 Jul;98(1):149-53.

Singh P, Choudhary S, Sundar E, Kumar S, Sahai A. A comparison of sonourethrography and retrograde urethrography in evaluation of anterior urethral strictures. Clin Radiol. 2004 Aug;59(8):736-42.

Alam AK, Hossain MS, Faruque MS, Siddique FH, Hossain MM, Amanullah AT, et al. Sono-urethrography in the evaluation of male anterior urethral strictures. Bangl J Urol. 2010 Jul;13(2):51-6.

Sikarwar JS, Bhujade H, Muchhoria S, Ahirwar V, Singh R. Evaluation of anterior urethral pathology on sonourethrography and evaluation of degree of spongiofibrosis. J Evol Med Dent Sci. 2014 Feb;3(05):1206-14.

Gallentine ML, Morey AF. Imaging of the male urethra for stricture disease. Urol Clin North Am. 2002;29:361–72.

Santucci RA, Mario LA, McAninch JW. Anastomotic urethroplasty for bulbar urethral stricture: analysis of 168 patients. J Urol. 2002;167:1715.

Devine C, Jordan GH, Schlossberg SM. Surgery of the penis and urethra. In: Walsh PC, Retik AB, Vaughan ED Jr, Wein AJ, editors. Campbell's urology. Philadelphia, Pa: Saunders; 2002. P. 3886– 952.

McAninch JW, Laing FC, Jeffrey RB, Jr. Sonourethrography in the evaluation of urethral strictures: a preliminary report. J Urol. 1988;139:294.

Chiou RK, Anderson JC, Tran T, Ptterson RH, Wobig R, Taylor RJ. Evaluation of urethral strictures and associated abnormalities using high-resolution and color Doppler ultrasound. Urology. 1996;47:102-7.

Bearcroft PW, Berman LH. Sonography in the evaluation of the male anterior urethra. Clin Radiol. 1994;49 (9):621-8.

Gupta S, Majumdar B, Tiwari A, Gupta RK, Kumar A, Gujral RB. Sonourethrography in the evaluation of anterior urethral strictures: correlation with radiographic urethrography. J Clin Ultrasound. 1993;21(4):231-9.

Samaiyar SS, Shukla RC, Dwivedi US. Role of sonourethrography in anterior urethral stricture. Indian J Urol. 1999;15(2):146-51.

Nash PA, McAninch JW, Bruce JE, Hanks DK. Sono-urethrography in the evaluation of anterior urethral strictures. J Urol. 1995;154(1):72-6.

Gluck CD, Bundy AL, Fine C, Kevin RL, Jerome PR. Sonographicurethrogram: comparison to roentgenographic techniques in 22 patients. J Urol. 1988;140(6):1404-8.

Merkle W, Wagner W. Sonography of the distal male urethra-a new diagnostic procedure for urethral strictures: results of a retrospective study. J Urol. 1988;140:1409-11.

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