Evaluation of postsurgical urethra and urethral strictures by meatal compression-voiding urethrography

Evaluation of the postsurgical urethra and the urethra with strictures may be made simpler and safer by performing voiding urethrography with meatal compression instead of the traditional combination of retrograde and noncompression voiding studies. Meatal compression-voiding urethrography (MCVU), using a Zipser clamp, was performed on 41 patients with strictures (13) or to evaluate previous urethral surgery (28). Diagnostic studies were obtained in 39 (95 per cent). Surgical-cystoscopic follow-up in 26 patients agreed with the urethrographic findings in 92 per cent of the cases. MCVU demonstrated extraluminal contrast in 17 cases and provided a qualitative assessment of the urodynamic significance of strictures. This method is a simple, accurate alternative to retrograde and noncompression voiding urethrography.