Urology Annals
About UA | Search | Ahead of print | Current Issue | Archives | Instructions | Online submissionLogin 
Urology Annals
  Editorial Board | Subscribe | Advertise | Contact
Users Online: 608   Home Print this page  Email this page Small font size Default font size Increase font size
 
ORIGINAL ARTICLE
Ahead of Print

Extent of spongiofibrosis and length of strictures: Findings at sonourethrography and urethroplasty


 Division of Urology, Ahmadu Bello University, Zaria, Nigeria

Correspondence Address:
Nasir Oyelowo,
Division of Urology, Ahmadu Bello University, Zaria
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/UA.UA_161_19

Introduction: The purpose of this study was to diagnose urethral stricture and to determine the extent of spongiofibrosis as well as the length of stricture using sonourethrography and compare it with intraoperative findings. Patients and Methods: It was a cross sectional observational study from September 2017-August 2018. All patients who presented with urethral stricture, scheduled for urethroplasty, and consented to the study were enrolled. The extent of spongiofibrosis and length of strictures were determined at sonourethrography and subsequently at urethroplasty. Sensitivity, specificity, positive predictive value and negative predictive values of sonourethrography in the determination of length of stricture was done. Spearman correlation coefficient(r) was used to describe the association between the extent of spongiofibrosis found at sonourethrography and at urethroplasty. Results: A total of 84 patients were evaluated during the study period. The median age at presentation was 45years. 81% of the patients had moderate spongiofibrosis on sonourethrography. There was a significant correlation of 71.4% between the extent of spongiofibrosis on sonourethrography and at urethroplasty. In evaluation for the length of strictures, sonourethrography had a sensitivity of 84.6% specificity of 82.7%, PPV of 68.7% and NPV 92.3%. Conclusion: Sonourethrography is a valuable tool in the evaluation of urethral strictures. Its radiation free readily available even in resource-poor settings and gives a good evaluation of extent of spongiofibrosis as well as the length of strictures. It's use in the preoperative evaluation of strictures may improve the outcome of the management of strictures.


Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Oyelowo N
    -  Ahmed M
    -  Bello A
    -  Lawal AT
    -  Awaisu M
    -  Sudi A
    -  Muhammad MS
    -  Tolani MA
    -  Lawal BB
    -  Lovely F
    -  Maitama HY
    -  Ibrahim KA
    -  Hamza R
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed67    
    PDF Downloaded3    

Recommend this journal