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Updated: Sep 11, 2025

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Multiparametric MR Urethrography: Dynamic Comprehensive Evaluation of the Male Urethra
Natália Henz Concatto1, Alice Schuch1, Thiago de Oliveira Caetano1
1From the Department of Radiology, Divisions of Abdominal Imaging (N.H.C., A.S., I.M.P.) and Body Imaging (T.d.O.C., J.F.P.d.S.), Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil; Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (J.F.P.d.S., S.K.); Department of Radiology, Division of Abdominal Imaging, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil (S.S.W.); Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland, Ohio (E.T.d.O.C., L.K.B.); University Medical Imaging Toronto, University Health Network, Sinai Health System, Women's College Hospital, Toronto, Ontario, Canada (S.K.); and Department of Radiology, Case Western Reserve University, Cleveland, Ohio (L.K.B.).
Male urethral diseases like strictures and injuries impact urinary function. MR urethrography (MRU) offers detailed imaging of the urethra and surrounding tissues, improving diagnosis.
Area of Science:
- Urology
- Radiology
- Medical Imaging
Background:
- Male urethral diseases (strictures, trauma, neoplasms) present significant clinical challenges.
- The male urethra's complex anatomy increases susceptibility to injury and strictures.
- Traditional imaging methods have limitations in assessing periurethral tissues.
Purpose of the Study:
- To review the embryology, anatomy, and risk factors of male urethral diseases.
- To discuss imaging modalities for urethral abnormalities, emphasizing MRI.
- To highlight optimal MR urethrography (MRU) techniques and reporting.
Main Methods:
- Review of embryologic and anatomic features of the male urethra.
- Discussion of risk factors for male urethral diseases.
- Emphasis on Magnetic Resonance (MR) urethrography (MRU) as a comprehensive imaging modality.
Main Results:
- MR urethrography (MRU) provides detailed insights into the urethra and periurethral structures.
- MRI is presented as a comprehensive tool for evaluating urethral diseases.
- Optimal MRU protocols and reporting key points are discussed.
Conclusions:
- MR urethrography (MRU) is a valuable noninvasive tool for diagnosing male urethral diseases.
- Understanding urethral anatomy and MRU techniques is crucial for accurate assessment.
- This review aids in the comprehensive evaluation and reporting of urethral abnormalities.
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The anatomy of the urethra differs between males and females. In females, the urethra is short, measuring about 3–4 cm in length, and opens anterior to the vaginal opening. In males, the urethra is longer and passes through the penis, serving dual purposes: expelling urine and ejaculating semen. The male...
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