Intraoperative translabial ultrasound for urethral diverticula: A road map for surgeons

Abstract Purpose To highlight the importance of intraoperative translabial ultrasound, for identification of diverticular neck allowing complete resection of periurethral diverticula and decrease in the recurrence rate. Material and methods This study included 4 women of age range between 38 and 68...

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Bibliographic Details
Published in:European journal of radiology 2009-04, Vol.70 (1), p.133-137
Main Authors: El-Zein, C, Khoury, N, El-Zein, Y, Bulbul, M, Birjawi, G
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Diverticula
Diverticulum - diagnostic imaging
Diverticulum - surgery
Female
Humans
Intraoperative
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Radiology
Surgery, Computer-Assisted - methods
Translabial Ultrasound
Treatment Outcome
Ultrasonography, Interventional - methods
Urethra
Urethral Diseases - diagnostic imaging
Urethral Diseases - surgery
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Summary:Abstract Purpose To highlight the importance of intraoperative translabial ultrasound, for identification of diverticular neck allowing complete resection of periurethral diverticula and decrease in the recurrence rate. Material and methods This study included 4 women of age range between 38 and 68 years presenting for recurrent urinary tract infections and urethral pain. All had translabial urethral ultrasound and cystoscopy with and without U/C guidance. Results Prior cystoscopy in all these patients failed to demonstrate the diverticulum. Translabial ultrasound showed the diverticula some of which were infected. Ultrasound was used intraoperatively to guide the surgeon. With this approach the abnormality was confirmed and the neck of the diverticulum was identified through percutaneous needle insertion. This allowed complete resection of the diverticula. Conclusion Translabial ultrasound is a non-invasive technique that plays a major role in examining the urethra and identifying the periuthral diverticula. In our experience, it was very useful as an adjunct to guide the surgeon intraoperatively allowing complete excision of the diverticulum.
ISSN:0720-048X
1872-7727
DOI:10.1016/j.ejrad.2007.12.012