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European Urology - Application of Ultrasound Contrast Agents for the Characterization of Female Urethral Vascularization in Healthy Pre- and Postmenopausal Volunteers: Preliminary Report Show Comments PDF Print E-mail
  
Wednesday, 29 November 2006
Volume 50, Issue 6, Pages 1316-1322 (December 2006)

Abstract -

Objectives:

Vascularization of the female urethra is an important factor contributing to the sealing effect responsible for the normal urethral closing system. The aim of this study was to assess whether contrast enhanced ultrasonography can be used to evaluate changes in urethral vascularization between pre- and postmenopausal women.

Methods

We studied the vascularization of female urethra in 11 healthy premenopausal females during the midfollicular phase of the menstrual cycle and 10 healthy postmenopausal volunteers using ultrasound contrast agents with a 2–5MHz curved-array transducer by a translabial approach. Reperfusion curves were analyzed by a blinded investigator. Ultrasound contrast agents were measured with specifically designed software, and results were evaluated using the Mann-Whitney U-test.

Results

The data suggest that the enhancement characteristics of the urethra were different in pre- and postmenopausal women and that the percent of blood volume and blood flow decreased with age. No changes were observed between pre- and postmenopausal women regarding the velocity of blood flow.

Conclusions

The study of female urethra vascularization by ultrasound contrast agents is safe, feasible, and noninvasive.


Salvatore Siracusanoa, Michele Bertolottob, Antonio Cucchic, Nikolitsa Lampropouloua, Anna Tiberioa, Cristiana Gasparinib, Stefano Ciciliatoa, Emanuele Belgranoa

a Department of Urology, Trieste University, Italy
b Department of Radiology, Trieste University, Italy
c Department of Urology, San Matteo Hospital, Pavia, Italy

Accepted 30 May 2006 published online 16 June 2006.

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