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Obliterative urethral stricture: MR urethrography versus conventional retrograde urethrography with voiding cystourethrography

Authors
Sung, Deuk JaeKim, Yun HwanCho, Sung BumOh, Yu WhanLee, Nam JoonKim, Jung HyukChung, Kyoo ByungMoon, Du GeonKim, Je Jong
Issue Date
Sep-2006
Publisher
RADIOLOGICAL SOC NORTH AMERICA
Keywords
MANAGEMENT; DEFECTS; DISEASE
Citation
RADIOLOGY, v.240, no.3, pp.842 - 848
Indexed
SCIE
SCOPUS
Journal Title
RADIOLOGY
Volume
240
Number
3
Start Page
842
End Page
848
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/123114
DOI
10.1148/radiol.2403050590
ISSN
0033-8419
Abstract
Institutional review board approval and informed consent were obtained. The purpose of the study was to prospectively evaluate magnetic resonance (MR) urethrography for the depiction of obliterative urethral stricture. Twelve patients with obliterative urethral stricture were examined preoperatively with T2-weighted, T1-weighted, and contrast material-enhanced T1-weighted MR imaging of a urethra distended with sterile lubricating jelly. Ten of the 12 patients were examined with conventional retrograde urethrography (RGU) combined with voiding cystourethrography (VCUG) prior to MR imaging. Each imaging result was compared with either a surgical specimen or a description of the surgical findings to determine which method allowed accurate estimation of stricture length. MR measurements of stricture length demonstrated significantly lower errors (P < .05) and better linear fit to surgical measurement than did conventional RGU combined with VCUG measurements (r(2) = 0.85, P < .001 and r(2) = 0.03, P > .05, respectively). MR imaging of the urethra distended with sterile lubricating jelly is an effective tool for evaluating obliterative urethral strictures.
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