Skip to main content
Erschienen in: International Urogynecology Journal 2/2016

01.02.2016 | Review Article

MRI of female urethra and periurethral pathologies

verfasst von: Malak Itani, Ania Kielar, Christine O. Menias, Manjiri K. Dighe, Venkat Surabhi, Srinivasa R. Prasad, Ryan O’Malley, Kiran Gangadhar, Neeraj Lalwani

Erschienen in: International Urogynecology Journal | Ausgabe 2/2016

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

Accurate diagnosis of a wide spectrum of urethral/periurethral pathologies in women remains challenging due to its anatomical location and nonspecific clinical presentations. Magnetic resonance imaging (MRI) has emerged as the modality of choice for diagnosing female urethral and periurethral pathologies due to its multiplanar scanning capability, superior soft tissue differentiation, noninvasive nature, and overall excellent contrast resolution.

Methods

In this narrative review, we describe the use of MRI to visualize the female urethra and periurethral pathologies.

Results

MRI can confidently characterize lesions into cystic or solid, provide a more succinct differential diagnosis, and in some cases provide a specific and accurate diagnosis, enabling surgeons to prepare a roadmap before operative procedure. Moreover, functional MRI can be useful to assess dynamic disorders such as urethral hypermobility.

Conclusions

We provide a comprehensive review of normal MR anatomy of the female urethra, as well as the MR features of practically important urethral and periurethral lesions.
Literatur
1.
Zurück zum Zitat Lazarus E, Allen BC, Blaufox MD, Coakley FV, Friedman B, Fulgham PF, et al (2014) ACR Appropriateness Criteria® recurrent lower urinary tract infections in women Lazarus E, Allen BC, Blaufox MD, Coakley FV, Friedman B, Fulgham PF, et al (2014) ACR Appropriateness Criteria® recurrent lower urinary tract infections in women
3.
Zurück zum Zitat Kataoka M, Kido A, Koyama T, Isoda H, Umeoka S, Tamai K et al (2007) MRI of the female pelvis at 3T compared to 1.5T: evaluation on high-resolution T2-weighted and HASTE images. J Magn Reson Imaging 25(3):527–534. doi:10.1002/jmri.20842 CrossRefPubMed Kataoka M, Kido A, Koyama T, Isoda H, Umeoka S, Tamai K et al (2007) MRI of the female pelvis at 3T compared to 1.5T: evaluation on high-resolution T2-weighted and HASTE images. J Magn Reson Imaging 25(3):527–534. doi:10.​1002/​jmri.​20842 CrossRefPubMed
4.
Zurück zum Zitat Masui T, Katayama M, Kobayashi S, Sakahara H, Ito T, Nozaki A (2001) T2-weighted MRI of the female pelvis: comparison of breath-hold fast-recovery fast spin-echo and nonbreath-hold fast spin-echo sequences. J Magn Reson Imaging 13(6):930–937CrossRefPubMed Masui T, Katayama M, Kobayashi S, Sakahara H, Ito T, Nozaki A (2001) T2-weighted MRI of the female pelvis: comparison of breath-hold fast-recovery fast spin-echo and nonbreath-hold fast spin-echo sequences. J Magn Reson Imaging 13(6):930–937CrossRefPubMed
8.
Zurück zum Zitat Urethral diverticulum in women [Internet]. 2014 [cited 10/01/2014] Urethral diverticulum in women [Internet]. 2014 [cited 10/01/2014]
9.
Zurück zum Zitat Romanzi LJ, Groutz A, Blaivas JG (2000) Urethral diverticulum in women: diverse presentations resulting in diagnostic delay and mismanagement. J Urol 164(2):428–433CrossRefPubMed Romanzi LJ, Groutz A, Blaivas JG (2000) Urethral diverticulum in women: diverse presentations resulting in diagnostic delay and mismanagement. J Urol 164(2):428–433CrossRefPubMed
10.
Zurück zum Zitat Wein AJ, Kavoussi LR, Campbell MF (2012) Campbell-Walsh urology / editor-in-chief, Alan J. Wein; [editors, Louis R. Kavoussi … et al.]. 10th ed. Elsevier Saunders, Philadelphia Wein AJ, Kavoussi LR, Campbell MF (2012) Campbell-Walsh urology / editor-in-chief, Alan J. Wein; [editors, Louis R. Kavoussi … et al.]. 10th ed. Elsevier Saunders, Philadelphia
12.
Zurück zum Zitat Pathi SD, Rahn DD, Sailors JL, Graziano VA, Sims RD, Stone RJ et al (2013) Utility of clinical parameters, cystourethroscopy, and magnetic resonance imaging in the preoperative diagnosis of urethral diverticula. Int Urogynecol J 24(2):319–323. doi:10.1007/s00192-012-1841-9 CrossRefPubMed Pathi SD, Rahn DD, Sailors JL, Graziano VA, Sims RD, Stone RJ et al (2013) Utility of clinical parameters, cystourethroscopy, and magnetic resonance imaging in the preoperative diagnosis of urethral diverticula. Int Urogynecol J 24(2):319–323. doi:10.​1007/​s00192-012-1841-9 CrossRefPubMed
15.
Zurück zum Zitat Woo I, Birsner ML, Chen CC (2014) Periurethral cystic mass misdiagnosed: a case report. J Reprod Med 59(7-8):414–416PubMed Woo I, Birsner ML, Chen CC (2014) Periurethral cystic mass misdiagnosed: a case report. J Reprod Med 59(7-8):414–416PubMed
22.
Zurück zum Zitat Ongun S, Çelik S, Aslan G, Yörükoğlu K, Esen A (2014) Cavernous hemangioma of the female urethra: a rare case report. Urol J 11(2):1521–1523PubMed Ongun S, Çelik S, Aslan G, Yörükoğlu K, Esen A (2014) Cavernous hemangioma of the female urethra: a rare case report. Urol J 11(2):1521–1523PubMed
23.
24.
Zurück zum Zitat Liu XS, Kreiger PA, Gould SW, Hagerty JA (2013) Congenital urethral polyps in the pediatric population. Can J Urol 20(5):6974–6977PubMed Liu XS, Kreiger PA, Gould SW, Hagerty JA (2013) Congenital urethral polyps in the pediatric population. Can J Urol 20(5):6974–6977PubMed
27.
Zurück zum Zitat Institute NC (2014) General Information About Urethral Cancer Institute NC (2014) General Information About Urethral Cancer
28.
Zurück zum Zitat Wiener JS, Walther PJ (1994) A high association of oncogenic human papillomaviruses with carcinomas of the female urethra: polymerase chain reaction-based analysis of multiple histological types. J Urol 151(1):49–53PubMed Wiener JS, Walther PJ (1994) A high association of oncogenic human papillomaviruses with carcinomas of the female urethra: polymerase chain reaction-based analysis of multiple histological types. J Urol 151(1):49–53PubMed
30.
Zurück zum Zitat Derksen JW, Visser O, de la Rivière GB, Meuleman EJ, Heldeweg EA, Lagerveld BW (2013) Primary urethral carcinoma in females: an epidemiologic study on demographical factors, histological types, tumour stage and survival. World J Urol 31(1):147–153. doi:10.1007/s00345-012-0882-5 CrossRefPubMed Derksen JW, Visser O, de la Rivière GB, Meuleman EJ, Heldeweg EA, Lagerveld BW (2013) Primary urethral carcinoma in females: an epidemiologic study on demographical factors, histological types, tumour stage and survival. World J Urol 31(1):147–153. doi:10.​1007/​s00345-012-0882-5 CrossRefPubMed
31.
Zurück zum Zitat Control CFD (2014) Vaginal and Vulvar Cancers Statistics Control CFD (2014) Vaginal and Vulvar Cancers Statistics
32.
Zurück zum Zitat Vaginal cancer [Internet]. 2014 [cited 10/21/2014] Vaginal cancer [Internet]. 2014 [cited 10/21/2014]
37.
Zurück zum Zitat Walsh LP, Zimmern PE, Pope N, Shariat SF, Network UIT (2006) Comparison of the Q-tip test and voiding cystourethrogram to assess urethral hypermobility among women enrolled in a randomized clinical trial of surgery for stress urinary incontinence. J Urol 176(2):646–649. doi:10.1016/j.juro.2006.03.091, discussion 50CrossRefPubMed Walsh LP, Zimmern PE, Pope N, Shariat SF, Network UIT (2006) Comparison of the Q-tip test and voiding cystourethrogram to assess urethral hypermobility among women enrolled in a randomized clinical trial of surgery for stress urinary incontinence. J Urol 176(2):646–649. doi:10.​1016/​j.​juro.​2006.​03.​091, discussion 50CrossRefPubMed
38.
Zurück zum Zitat Lienemann A, Fischer T (2003) Functional imaging of the pelvic floor. Eur J Radiol 47(2):117–122CrossRefPubMed Lienemann A, Fischer T (2003) Functional imaging of the pelvic floor. Eur J Radiol 47(2):117–122CrossRefPubMed
Metadaten
Titel
MRI of female urethra and periurethral pathologies
verfasst von
Malak Itani
Ania Kielar
Christine O. Menias
Manjiri K. Dighe
Venkat Surabhi
Srinivasa R. Prasad
Ryan O’Malley
Kiran Gangadhar
Neeraj Lalwani
Publikationsdatum
01.02.2016
Verlag
Springer London
Erschienen in
International Urogynecology Journal / Ausgabe 2/2016
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-015-2790-x

Weitere Artikel der Ausgabe 2/2016

International Urogynecology Journal 2/2016 Zur Ausgabe

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.