RESUMEN
Purpose: To evaluate stricture and disruption of the male urethra with the help of sonography and to evaluate the efficacy of Sonourethrography [S.U.G.] and up and down Sonourethrography as compared to conventional radiographic procedures as retrograde urethrography [RUG] and up and down urethrography
Material and Methods: In the period of 25 months, we evaluated 35 patients [31 patients with urethral strictures and 4 patients with urethral disruption] with urethrography and S.U.G. Age of the patients varied between 12-85 years [mean 39 y]. We analyzed stricture length, depth of spongiofibrosis, urethral defect, and satisfaction and compared the results. We also analyzed the results of imaging with urethroscopic and surgical results
Results: The depths of spongiofibrosis concluded grade A in one [3.2%], grade Bin 12 [37.8%], grade C in 11 [35.4%], grade D in 2 [6.4%] and grade E in 2 [6.4%]. Spongiofibrosis wasn't valuable in 3 [9.6%] patients. The length of the stricture was better demonstrated by sonography [p= 0.000]. We didn't find important differences concerning results of up and down Sonourethrography and up and down urethrography in patients with urethral disruption [p= 0.18]. Patients were more satisfied from sonographic study than urethrography [p=0.000]
Conclusion: S.U.G. is a simple and available procedure without radiation exposure S.U.G. is more sensitive in defining the length and the depth of strictures. Grade B was the most common from of spongiofibrosis in our study. Patients were more satisfied from sonographic study than urethrography. Up and down Sonourethrography could be helpful in defining the length of defect in urethral disruption