This study was undertaken to explore the uses of sonourethrography with high-resolution ultrasound in evaluating stricture disease of the male urethra and comparing it with retrograde urethrography. The present study was carriedout in a single center as a cross sectional comparative design with prospective recruitment of 40 male patients with urethral strictures for a period of 14 months. Urethral stricture evaluation (Location, Length, Number and Type of strictures) was primarily done on retrograde urethrography and then compared with sonourethrography for correlation. Out of 40 patients in this study, 35 had single stricture and 5 had multiple strictures. Similar findings were found in both SUG and RGU in this study. Hence the sensitivity, specificity, positive predictive value and negative predictive value were 100% and Kappa value of 1.0 which meant a very good agreement. In this study it was found that Sonourethrography was as efficacious as retrograde urethrography in diagnosing of anterior urethral strictures. Sonourethrography technique did not involve the use of contrast medium for imaging and devoid of radiation exposure too. Present study findings recommend that RGU can be replaced with sonourethrography imaging in diagnosing of anterior urethral strictures.
