Transcript Endoscopy and Radiology for Lower Urinary Tract Dysfunction

Endoscopy and Radiology
for Lower Urinary Tract
Dysfunction
Hann-Chorng Kuo
Department of Urology
Buddhist Tzu Chi General Hospital
Lower Urinary Tract
Urinary bladder
Ureteral orifices
Trigone
Bladder neck
Prostate and prostatic urethra
Urethral sphincter
Urethra (posterior, bulbous, anterior)
Bladder wall in Cystoscopy
Smooth bladder wall
Trabeculated bladder wall
Diverticulum
Pseudodiverticulum
Bladder tumor
External compression
Smooth Bladder Wall
Trabeculation of Bladder Wall
Bladder Tumor
Bladder mucosa
Normal mucosa and vasculature
Hyperemia
Ischemia
Hemorrhagic cystitis
Cystitis cystica
Pseudomembranous trigonitis
Granulomatous cystitis
Normal Mucosal Vasculature
Hyperemia and Inflammation
Hemorrhagic cystitis
Cystitis Cystica
Pseudomembranous Trigonitis
Granulomatous Cystitis
Tuberculosis Cystitis
Prostatic enlargement
Benign prostatic enlargement
Prostatic cancer
Bladder Neck Obstruction
Urethral Stricture
Bladder neck contracture
Membranous urethral stricture
Anterior urethral stricture
Anterior urethral valve
Meatal stenosis
Urethral Stricture
Ureteral Orifice
Normal cone shape
Horseshoe shape
Stadium shape
Golf hole shape
Short submucosal ureteral tunnel
Ureteral Orifice
Chronic Inflammation of Female
Bladder Neck
Female Urethral Incompetence
Bladder neck incompetence
Urethral incompetence
Interstitial Cystitis
Painful Bladder Syndrome
Bladder Stone
Bladder musculature
Uroradiology in Lower Urinary
Tract Dysfunction
Intravenous pyelography (IVP)
Retrograde pyelography
Cystography
Voiding cystourethrography
Retrograde urethrography
Beaded chain cystourethrograph
Magnetic resonance image (MRI)
Intravenous pyelography in
Benign Prostatic Hyperplasia
Inravenous Pyelography in High
Grade Cystocele
Retrograde Pyelography in
Ureteral stricture
Voiding Cystourethrography
Bladder neck dysfunction
Prostatic obstruction
Urethral stricture
Anterior urethral valve
Vesicoureteral reflux
Bladder diverticulum
Cystography on Straining
Urethral Incompetence
Bladder Base Indentation
Prostate Enlargement
Voiding Cystourethrography
Prostatic Obstruction
Voiding Cystourethrography in
DESD and after Sphincterotomy
Voiding Cystourethrography
Anterior urethral valve
Voiding Cystourethrography
Dysfunctional voiding
Voiding Cystourethrography
Urethral meatal stricture
Transrectal sonography
Prostatic configuration
Urethral stricture
Bladder neck incompetence
Bladder base hypermobility
Intravesical pathology
Prostate Configuration
Prostatic urethra
Transition zone of prostate
Seminal vesicle
Ejaculatory duct
Peripheral zone of prostate
Bladder neck
Transrectal sonography of the
Prostate, Seminal vesicle, Urethra
Prostatic Enlargement
Transition Zone Index (TZI)
Transition zone vol/ total prostate vol
A TZI of <0.3 indicates low possibility of
prostatic obstruction, a TZI of >0.5
indicates highly suspicious prostatic
obstruction
TZI correlates poorly with total prostatic
volume
Measurement of TZI
Female Urethral Structure
Female Urethra in SUI
Hypermobility of Bladder Base
Beaded-Chain
Cystourethrography
MRI of Cystocele
MRI of
Large Cystocele & Enterocele
MRI of Rectocele
MRI of Uterine Prolapse