International Atlas

by: Giancarlo Sarnelli M.D.

Sagittal perineal sonographic plane, obtained with high frequency superficial probe.

During micturition, in subject with slight hypermobility. In this image we can observe an optimal representation of urethral lumen (2) in all its length. During micturition, in this patient, the urethral conduit shows a position more bottom and posterior than in normality in relation to hypermobility. 

The little abnormality of mucosa (3) that we can see on the anterior urethral wall on the external meatal end (4) is a mucosal hypertrophy (ectropion) without obstruction of urethral flow. Bladder (1); Pubic bone (5). 

Sagittal perineal sonographic plane, obtained with high frequency superficial probe.

During micturition and straining, in subject with evident hypermobility. We can see the bladder (1) in the superior part of the image, the urethral conduit (2) with increased inclination angle of urethra in the middle tract, that form a corner (3) in the junction with distal tract. The external urethral meatus (4) presents normal aspect . Because of supine position, the urinary liquid fall posteriorly in the vaginal introïtus (5) forming an acoustic window the permit the visualization of anterior part of vulva and anterior vaginal wall (6). Symphysis pubis (8).

Sagittal perineal sonographic plane, obtained with high frequency superficial probe during micturition. 

The bladder is seen in the superior part of image (1). Regular course and diameter of urethra (2). We can observe the mucosal and sphincterial layers (3) on anterior and posterior side of urethral conduit (2). Regular aspect of urethral meatus (4). Anterior vaginal wall (5). Symphysis pubis (6).