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Magnetic resonance imaging of paraurethral and paravaginal lesion: relevant diagnoses, key findings and surgical correlation

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dc.contributor.authorLabra, Andrés
dc.contributor.authorCocio, Rolando
dc.contributor.authorSaavedra, Álvaro
dc.contributor.authorSchiappacasse, Giancarlo
dc.contributor.authorBlaskovic, Fernanda
dc.date.accessioned2026-09-14T16:17:43Z
dc.date.available2026-09-14T16:17:43Z
dc.date.issued2025
dc.description.abstractParaurethral and paravaginal lesions are uncommon entities that often present diagnostic challenges due to their anatomical complexity, varied etiologies, and overlapping clinical presentations. Accurate identification and characterization of these lesions are essential for appropriate management and surgical planning. A structured diagnostic approach, based on clinical history, lesion location, and imaging features, is critical to avoid misdiagnosis and unnecessary interventions. Magnetic resonance imaging (MRI) has emerged as the modality of choice due to its excellent soft-tissue contrast, multiplanar capabilities, and non-invasive nature, offering superior delineation of lesion extent and relationship with adjacent pelvic structures. This pictorial review seeks to support radiologists and clinicians by offering a comprehensive yet practical guide to the imaging evaluation of paraurethral and paravaginal lesions. Through high-resolution MRI images and original anatomical illustrations, we aim to reduce the gap between imaging interpretation and clinical decision-making. We summarize the primary MRI indications for evaluating female urethral pathology, provide an overview of common and rare differential diagnoses, and highlight relevant MRI protocol considerations. Additionally, we include correlations with surgical findings when available, to enhance clinical applicability. Rather than providing an exhaustive catalog of entities, our focus is to promote standardized imaging assessment and highlight key anatomical and diagnostic considerations that may facilitate a more confident and informed multidisciplinary approach to these often-overlooked pelvic pathologies.
dc.description.versionVersión Publicada
dc.identifier.citationLabra, A., Cocio, R., Saavedra, Á., Schiappacasse, G., & Blaskovic, F. (2025). Magnetic resonance imaging of paraurethral and paravaginal lesion: relevant diagnoses, key findings and surgical correlation. Translational andrology and urology, 14(5), 1484–1502. https://doi.org/10.21037/tau-2024-726
dc.identifier.doihttps://doi.org/10.21037/tau-2024-726
dc.identifier.urihttps://hdl.handle.net/11447/11126
dc.language.isoen
dc.publisherhttps://doi.org/10.21037/tau-2024-726
dc.subjectParaurethral lesions
dc.subjectDifferential diagnosis
dc.subjectMagnetic resonance imaging (MRI)
dc.subjectParavaginal lesions
dc.subjectPelvic imaging
dc.titleMagnetic resonance imaging of paraurethral and paravaginal lesion: relevant diagnoses, key findings and surgical correlation
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceTranslational andrology and urology
dspace.entity.typePublication
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relation.isAuthorOfPublication5ac9eb4a-e34f-409f-ade0-d5611b41cefe
relation.isAuthorOfPublication.latestForDiscoveryfad770f1-cff9-4846-bb25-17d6ca9c40d4

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