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[Voiding ultrasonographic cystourethrography].

E Kocjancic1, B Frea, S Baietto

  • 1Clinica Urologica, Facoltà di Medicina e Chirurgia, Università degli studi del Piemonte Orientale Amedeo Avogadro, Novara.

Archivio Italiano Di Urologia, Andrologia : Organo Ufficiale [Di] Societa Italiana Di Ecografia Urologica E Nefrologica
|February 28, 2001
PubMed
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Transvaginal ultrasonography assesses female lower urinary tract anatomy and function during voiding. Current diagnostic criteria for female voiding disorders remain uncertain, necessitating further research for effective treatments.

Area of Science:

  • Urogynecology
  • Medical Imaging
  • Female Pelvic Medicine

Background:

  • Female voiding disorders lack definitive diagnostic criteria.
  • Transvaginal ultrasonography is utilized to evaluate the bladder base and urethral anatomy.
  • The procedure assesses structures like the striated sphincter and periurethral tissues.

Purpose of the Study:

  • To detail the application of transvaginal ultrasonography in evaluating female voiding function.
  • To highlight key ultrasonographic findings related to urethral anatomy and micturition dynamics.
  • To underscore the current limitations in diagnosing female voiding disorders.

Main Methods:

  • Transvaginal ultrasonography was employed to examine the bladder base and urethral structures.
  • Assessment included evaluation of the striated sphincter and periurethral tissues.

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  • During micturition, attention was focused on urethral wall elasticity, axis deviation, and the presence of fibrosis or diverticula.

    • Main Results:

    • The study outlines specific ultrasonographic parameters evaluated during micturition.
    • Findings include assessment of urethral wall elasticity, axis deviation, fibrotic rings, diffuse fibrosis, and urethral diverticula.
    • The literature currently lacks established diagnostic criteria for these findings in female voiding disorders.

    Conclusions:

    • Transvaginal ultrasonography provides detailed anatomical and functional insights into the female lower urinary tract during voiding.
    • The absence of standardized diagnostic criteria hinders the effective identification and management of female voiding disorders.
    • Further research is needed to establish clear diagnostic criteria and therapeutic solutions.