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  • 1
    ISSN: 1432-1084
    Keywords: Male sphincter externtus of urethra ; Transurethral sonographv ; Anatomic ; Sonomorphologic correlation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Sonoenorphotogic criteria of male urethral external sphincter under normal and pathologic conditions were evaluated by direct visualization with endoluminal US and correlated with normal anatomy. Between October 1992 and August 1993 18 patients were examined prospectively. We used a 12.5 MHz interventional US machine eduipped with a Sonicat 9-French catheter system. In all cases the anatomic structure of the external male urethral sphincter was visualized and demonstrated not in the expected circular configuration, but rather in an “omega sign” of the muscle and fibers, functioning with retraction of the ventral and lateral parts of the muscle, surrounding the urethra. Disorders of muscular function were revealed in 8 cases, and 6 cases demonstrated scarring and thinning of the muscle. Endoluminal-US offers the possibility of direct visualization not only of the male external sphincter, but also of the contracting mechanism in cross-sectional view. An exact description of sonoanatorny and the pathoenorphologic correlation is more accurate. The method therefore has the benefit of better access to further therapeutic considerations.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European radiology 5 (1995), S. 354-358 
    ISSN: 1432-1084
    Keywords: Bulbo-urethral glands ; Cowper's cyst ; Three-dimensional transrectal ultrasound
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Three-dimensional transrectal sonography is a new imaging technique capable of providing sonographic sections in three planes simultaneously, which to date has not been possible by conventional techniques. Apart from the additional information obtained by the third, i. e. coronal, plane, this new technique permits precise three-dimensional analyses of relevant anatomical structures. In a total of 57 patients the bulbo-urethral glands were studied by means of three-dimensional transrectal sonography. In order to identify the visualized structures anatomically and topographically, the images obtained were compared with serial anatomical sections of several male pelves. The results show that, with the help of three-dimensional sonography, it is possible to obtain reproducible images by a routine procedure which enables the localisation and demonstration of the bulbo-urethral glands as well as the adjacent anatomical structures (organs, muscles, corpora cavernosa and vessels). Furthermore, a cyst in one of the bulbo-urethral glands could be definitively diagnosed and assessed in 3 patients. With the help of this non-invasive diagnostic tool it is now possible to assess the regions of the pelvic floor and prostate quickly, easily and with great precision. Any site which has been assessed in the volume scan can be simultaneously visualised in the three planes, which renders measurements in all three dimensions possible.
    Type of Medium: Electronic Resource
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