Assessment of Diagnostic Performance of Saline Sono Urethrography in the Evaluation of Male Anterior Urethral Stricture in Black Lion Specialized Hospital, Addis Ababa University, Addis Ababa, Ethiopia
No Thumbnail Available
Date
2021-10
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Introduction:Purpose of this study was to evaluate the efficacy of saline Sonourethrography (SUG) indetection and evaluation of male anterior urethral strictures compared with retrogradeurethrography (RUG). Anterior male urethral stricture disease is a major health problemrepresenting a significant part of the workload of the radiologist and urologist. Its management remains a challenge to both the urologist and the patients. The appropriate choice of managementof anterior urethral stricture depends largely on a reasonable, safe and high diagnostic yield ofpreoperative imaging methods.
Methods:Hospital based prospective cross-sectional study was used at Tikur Anbessa specialized hospitalfrom October 2020 – September 2021. The study participants were all patients on work up for clinically suspected anterior urethral stricture that came to urology department & radiology department at TASH. There were a total of 44 patients involved in this study. Data was collected directly by interviewing the patients and as well as by reviewing Salinesonourethrography and retrograde urethrography imaging’s done for the patients using a structured questionnaire. The data was analyzed using SPSS software and results were presented using text, tables and graphs.The results of both methods (Salinesonourethrography andRetrograde urethrography) were compared. Retrograde Urethrography was considered as the gold standard for this comparison.
Result:In 68.18% of the patients (30 patients) anterior urethral stricture was identified by retrograde urethrography. Most of the patients with anterior urethral stricture were in the age group of 41-60years (41.9%). The two most common presenting symptoms were weak stream and dysuria each comprising 38.7% and 32.3% respectively. The most common site of stricture was bulbar urethra and the most frequent length of stricture was short segment stricture. Moderate degree of Spongiofibrosis was the mostly identified degree of Spongiofibrosis. The sensitivity and specificity of SSU were 86.66% and 92.85% respectively and the PPV and NPV were 96.29% and 76.47% respectively.
Description
Keywords
Saline Sonourethrography, Retrograde Urethrography, Urethral Stricture