Abstract：
OBJECTIVES:To estimate the value of transrectal ultrasonography (TRUS) in traumatic urethral injuries of various types in females. METHODS:A total of 30 female patients with symptoms of urethral injuries after trauma underwent TRUS between January 2005 and July 2008. Of them, 28 patients with operative indications undertook operation; the other 2 received conservative management and then a follow-up ultrasonography. All outcomes were used to validate the results of TRUS. RESULTS:Urethral injuries were clearly observed in 30 cases with TRUS. The continuity of urethral wall, unblocking of urethral lumen, and homogeneous echo of surrounding structures had been changed. Urethral injuries varied in types, including urethrovaginal fistula, urethral stricture, urethral rupture, and urethral hematoma. It was common to find several injury patterns simultaneously in 1 patient. The outcomes in 28 cases with operative indications were consistent with results of surgery. The other 2 cases were diagnosed as urethral hematoma by TRUS which disappeared in a follow-up sonography after 3 months' conservative management. CONCLUSIONS:TRUS is a reliable technique to exhibit abnormalities in injured urethra associated with trauma in female.
journal_name
Urologyjournal_title
Urologyauthors
Ying T,Li Q,Shao C,Zhu Z,Feng L,Hu Bdoi
10.1016/j.urology.2009.11.044subject
Has Abstractpub_date
2010-08-01 00:00:00pages
319-22issue
2eissn
0090-4295issn
1527-9995pii
S0090-4295(09)02992-6journal_volume
76pub_type
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