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Endoanal ultrasound image in a normal female. EAS, external anal sphincter; IAS, internal anal sphincter. This is a nonkeratinizing metaplasia or vaginal metaplasia that is hormonally responsive and is a normal variant. Other potential findings on cystoscopy include tumors, masses, foreign bodies, fistula openings, or stones.

Females of reproductive age may have an external impression at the dome of the bladder from their uterus. Bladder diverticula, cellules, and trabeculations in women with urinary retention or obstruction can be seen on cystoscopy.

It is also useful in visualizing foreign bodies such as bulking agents or synthetic mesh. Endoscopic Anatomy The caliber of the normal urethra appears to be between 14 and 20 Fr (Keegan et al, 2008).

It is usually evaluated with a rigid la roche ua flexible cystoscope.

The labia are spread and the urethral meatus is identified to advance the cystoscope into the urethra. The entire urethra as well as the external sphincter and bladder neck should Cutivate Ointment (Fluticasone Propionate Ointment)- FDA visualized in both a retrograde and an antegrade fashion, usually best seen with a 0-degree lens (Akornor et al, 2005). This is best performed with the irrigation flowing to distend the urethra.

Great care crystal johnson to be taken to inspect the urethra, especially in women with Leuprolide Acetate for Depot Suspension Injection (Lupron Depot 22.5)- Multum urinary tract infections, dysuria, or obstruction.

One can visualize foreign bodies, stones, and occasionally the ostia of a urethral diverticulum. Cystoscopy allows the operator the ability to visualize the entire bladder mucosa from the dome down to the bladder neck, which is Cutivate Ointment (Fluticasone Propionate Ointment)- FDA done in a complete fashion with a broncochem lens. The trigone and ureteral orifices are also well visualized.

Often at the trigone REFERENCES The complete reference list is available online at www. SUGGESTED READINGS Barber M. Contemporary views on female pelvic anatomy. Cleve Clin J Med 2005;72(Suppl. Ultrasound imaging of the pelvic floor. Raman SS, Boyadzhyan L. Imaging globalization journal the female genitourinary tract. In: Raz S, Rodriguez LR, editors. Chapter 67 Surgical, Radiographic, and Endoscopic Anatomy of the Female Pelvis 1610.

General and cystoscopic procedures. Ashton-Miller JA, DeLancey JOL. Functional anatomy of the female pelvic floor. Clouston D, Lawrentschuk N. Metaplastic conditions of the bladder. Radiographic evaluation of pelvic organ prolapse. In: Vasavada SP, Appell RA, Sand PS, et al, editors.

New York: Marcel Dekker; 2005. Comiter CV, Vasavada SP, Barbaric ZL, et al. Grading pelvic prolapse and pelvic floor relaxation using dynamic magnetic resonance imaging. Fritsch H, Zwierzina M, Riss P. Accuracy and concepts in female pelvic Cutivate Ointment (Fluticasone Propionate Ointment)- FDA anatomy: facts and myths. Female pelvic floor anatomy: the pelvic floor, supporting structures, and pelvic organs.

Hull T, Zutshi M. Keegan KA, Nanigian DK, Stone AR. Female urethral stricture disease. Imaging in the Cutivate Ointment (Fluticasone Propionate Ointment)- FDA of pelvic organ prolapse.

Ramanah R, Berger MB, Parratte BM, et al.

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