Efficiency of combined retrograde urethrography and anterograde cystourethrography procedures in the diagnosis of voiding difficulties
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Abstract
Combined retrograde urethrography and micturition cystourethrography (RGU/MCU)) are fluoroscopy-guided radiological imaging procedures that involve the use of X-ray ionizing radiations to diagnose lower urinary tract pathologies. Patients presenting urological conditions may be required to undergo combined RGU/MCU procedures. Our research emphasized combining both RGU and MCU procedures in evaluating pathological conditions, anatomical changes, and landmarks of the lower urinary tract and the effectiveness of combined procedures. Referring to existing research articles and data collected onsite from MMDU Super Specialty Hospital we found strain micturition, stricture urethra, BEP, and urgency to have been mostly complained indications, other presented indications including nocturia, partial and complete urinary retention, trauma, incontinence, frequent urination, hematuria, and other lower urinary tract symptoms (LUTS). At the end of this study, it was found that abnormal reports were 16 patients with a percentage of 45.71% while normal patients were 19 with 54.29 % however some patients' reports appeared normal while they claimed to have lower urinary symptoms, this is presented by smaller interval difference between normal and abnormal. Lower urinary tract anatomical changes highlighted included changes in urinary bladder shape, outline and capacity, dilatation of ureters, and change in urethra shape, outline, and caliber, however future study with multi-imaging and clinical correlations is recommended for exact evaluation.
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References
Y. Osman, M. A. El-Ghar, O. Mansour, H. Refaie, and T. El-Diasty, “Magnetic Resonance Urethrography in Comparison to Retrograde Urethrography in Diagnosis of Male Urethral Strictures: Is It Clinically Relevant?,” Eur. Urol., vol. 50, no. 3, pp. 587–594, 2006, doi: 10.1016/j.eururo.2006.01.015.
H. P. Dietz and B. T. Haylen, “Symptoms of voiding dysfunction: What do they really mean?,” Int. Urogynecol. J., vol. 16, no. 1, pp. 52–55, 2005, doi: 10.1007/s00192-004-1213-1.
K. D. Clement, H. Burden, K. Warren, M. C. M. Lapitan, M. I. Omar, and M. J. Drake, “Invasive urodynamic studies for the management of lower urinary tract symptoms (LUTS) in men with voiding dysfunction,” Cochrane Database Syst. Rev., vol. 2015, no. 4, Apr. 2015, doi: 10.1002/14651858.CD011179.pub2.
M. Niknejad and A. Shetty, “Urethrography,” in Radiopaedia.org, Radiopaedia.org, 2014. doi: 10.53347/rID-27214.
B. N. Breyer, M. R. Cooperberg, J. W. McAninch, and V. A. Master, “Improper Retrograde Urethrogram Technique Leads to Incorrect Diagnosis,” J. Urol., vol. 182, no. 2, pp. 716–717, Aug. 2009, doi: 10.1016/j.juro.2009.04.060.
K. W. COATES, R. L. HARRIS, G. W. CUNDIFF, and R. C. BUMP, “Uroflowmetry in women with urinary incontinence and pelvic organ prolapse,” Br. J. Urol., vol. 80, no. 2, pp. 217–221, Aug. 1997, doi: 10.1046/j.1464-410X.1997.00246.x.
G. B. Zilinskas and P. Zimmern, “Voiding dysfunction in young men,” J. Am. Acad. Physician Assist., vol. 26, no. 8, pp. 58–60, Aug. 2013, doi: 10.1097/01.JAA.0000432578.82677.72.
R. Veeratterapillay, R. S. Pickard, and C. Harding, “The role of uroflowmetry in the assessment and management of men with lower urinary tract symptoms - revisiting the evidence,” J. Clin. Urol., vol. 7, no. 3, pp. 154–158, 2014, doi: 10.1177/2051415813498874.
J. M. Beckel and G. Holstege, Urinary Tract, vol. 2011. in Handbook of Experimental Pharmacology, vol. 2011. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. doi: 10.1007/978-3-642-16499-6.
A. Mangera, N. I. Osman, and C. R. Chapple, “Anatomy of the lower urinary tract,” Surg., vol. 31, no. 7, pp. 319–325, Jul. 2013, doi: 10.1016/j.mpsur.2013.04.013.
W. C. de Groat, “ANATOMY AND PHYSIOLOGY OF THE LOWER URINARY TRACT,” Urol. Clin. North Am., vol. 20, no. 3, pp. 383–401, Aug. 1993, doi: 10.1016/S0094-0143(21)00501-2.
I. I. Nnabugwu, A. C. Onuh, S. K. Anyimba, and S. O. Mgbor, “Comparing complications of urethral stricture across various ages: A retrospective analysis of findings from retrograde urethrogram and voiding cysto-urethrogram over 10 years,” BMC Med. Imaging, vol. 19, no. 1, pp. 1–6, 2019, doi: 10.1186/s12880-019-0384-7.
S. Prabhu, D. K. Naveen, S. Bangera, and B. Subrahmanya Bhat, “Production of X-RAYS using X- RAY Tube,” J. Phys. Conf. Ser., vol. 1712, no. 1, p. 012036, Dec. 2020, doi: 10.1088/1742- 6596/1712/1/012036.
J. Jones and A. Murphy, “Image intensifier,” in Radiopaedia.org, Radiopaedia.org, 2017. doi: 10.53347/rID-52641.
F. E. Zink, “X-ray tubes.,” Radiographics, vol. 17, no. 5, pp. 1259–1268, 1997, doi: 10.1148/radiographics.17.5.9308113.
K. Fridell, L. Edgren, L. Lindsköld, P. Aspelin, and N. Lundberg, “The Impact of PACS on Radiologists’ Work Practice,” J. Digit. Imaging, vol. 20, no. 4, pp. 411–421, Dec. 2007, doi: 10.1007/s10278-006-1054-1.
M. M. Elsingergy, R. D. Bellah, S. J. Back, D. A. Weiss, and K. Darge, “Retrograde urethrography in children: a decade of experience at a children’s hospital,” Pediatr. Radiol., vol. 53, no. 5, pp. 862–874, 2023, doi: 10.1007/s00247-023-05589-7.
Y. Osman, M. A. El-Ghar, O. Mansour, H. Refaie, and T. El-Diasty, “Magnetic Resonance Urethrography in Comparison to Retrograde Urethrography in Diagnosis of Male Urethral Strictures: Is It Clinically Relevant?,” Eur. Urol., vol. 50, no. 3, pp. 587–594, Sep. 2006, doi: 10.1016/j.eururo.2006.01.015.
M. Morgan and A. Shetty, “Voiding cystourethrography,” in Radiopaedia.org, Radiopaedia.org, 2014. doi: 10.53347/rID-27057.
M. Niknejad and A. Shetty, “Urethrography,” in Radiopaedia.org, Radiopaedia.org, 2014. doi: 10.53347/rid-27214.