Retrograde urethrosonography with SonoVue in strictures of the male urethra: a pilot study

Med Ultrason. 2020 Nov 18;22(4):424-429. doi: 10.11152/mu-2483. Epub 2020 Jul 22.

Abstract

Aim: To evaluate the effectiveness of SonoVue urethrosonography in diagnosing the adult male anterior urethral strictures pathology in comparison with retrograde urethrography.

Material and method: We standardised the method and performed a comparative study evaluating the diagnosis of urethral strictures using retrograde urethrography and retrograde ultrasonographic exploration with SonoVue on 6 male patients.

Results: In all patients, the existence of urethral stricture, localization and its extension were confirmed. Contrast-enhanced ultrasonographic exploration brought additional categories of information: the degree of spongiofibrosis, the elasticity of the urethral walls and the presence of urethral lithiasis. There were no periprocedural incidents.

Conclusion: This pilot study demonstrates the feasibility and innocuity of urethral ultrasound with SonoVue. Real-time ultrasound exploration highlights aspects that are not seen in radiological examination, so the method can be complementary or alternative to this procedure.

MeSH terms

  • Adult
  • Constriction, Pathologic
  • Humans
  • Male
  • Phospholipids
  • Pilot Projects
  • Sulfur Hexafluoride
  • Urethra* / diagnostic imaging
  • Urethral Stricture* / diagnostic imaging

Substances

  • Phospholipids
  • contrast agent BR1
  • Sulfur Hexafluoride