3) MRI is a useful modality for the evaluation of pelvic pathology and has been reported to have a higher sensitivity for the depiction of urethral diverticula than VCUG or urethroscopy
Upon examination under anesthesia (EUA) and urethroscopy
, we found that the ectopic ureters were in the vaginal anterior position, leading to the vestibule; we also found the urethral orifice blind, with no sight of the bladder (Fig.
We believe that the same principal can be used safely for cases with incomplete posterior urethral injury, where primary realignment can be done better endoscopically, followed by urethroscopy
2 to 3 weeks later to assess the urethral continuity and mucosal healing, which can even decrease the need for visual urethrotomy on follow-up.
It was impossible to determine the extent of necrosis using a flexible urethroscopy