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The standards of an ultrasound examination of the prostate gland. Part 2

View Article: PubMed Central - PubMed

ABSTRACT

The paper discusses the rules of the proper performing of the ultrasound examination of the prostate gland. It has been divided into two parts: the general part and the detailed part. The first part presents the necessary requirements related to the ultrasound equipment needed for performing transabdominal and transrectal examinations of the prostate gland. The second part presents the application of the ultrasound examination in benign prostatic hyperplasia, in cases of prostate inflammation and in prostate cancer. Ultrasound examinations applied in the diagnostics of benign prostatic hyperplasia accelerated the diagnosis, facilitated the qualification to surgery and the selection of the treatment method. The assessment of the size of the prostate gland performed using the endorectal ultrasound examination is helpful in making the choice between transurethral electroresection and adenomectomy. In prostate inflammation this examination should be performed with particular gentleness due to pain ailments. The indication for performing the examination in acute inflammation is the suspicion of prostate abscess. In chronic, exacerbating prostatitis it is possible to perform an intraprostatic antibiotic injection. In the recent years increased morbidity and detectability of prostate gland cancer is observed among men. In Poland it ranks second (13%) among diseases occurring in men. The indication for an endorectal examination is the necessity to assess the size of the prostate gland, its configuration, the echostructure in classical ultrasonography, the vascularization in an ultrasound examination performed with power doppler and, if possible, the differences in the gland tissue firmness (consistency) in elastography. The ultrasound examination is used for performing the mapping biopsy of the prostate gland – from routine, strictly defined locations, the targeted biopsy – from locations suspected of neoplastic proliferation and the staging biopsy – from the neurovascular bundles, the seminal vesicles, from the apex of the prostate and from the periprostatic tissue – this type of biopsy is supposed to help in determining local staging of the neoplastic disease. The ultrasound examination is also helpful during the treatment of the neoplasm performed using brachytherapy or using the method of ultrasonic ablation which is still in the phase of clinical trials.

No MeSH data available.


The three-dimensional ultrasound examination (USG 3D) of the prostate gland: A. The coronal section of the prostate gland before the intraprostatic administration of the antibiotic; B. The image of the prostate gland in a coronal section after the administration of the antibiotic – the control of the distribution of the antibiotic. Two symmetric hyperechogenic areas which became visible after the injection of the antibiotic are the image of a solution administered to the prostate tissue
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f0004: The three-dimensional ultrasound examination (USG 3D) of the prostate gland: A. The coronal section of the prostate gland before the intraprostatic administration of the antibiotic; B. The image of the prostate gland in a coronal section after the administration of the antibiotic – the control of the distribution of the antibiotic. Two symmetric hyperechogenic areas which became visible after the injection of the antibiotic are the image of a solution administered to the prostate tissue

Mentions: Persistent, recurrent symptoms of chronic prostatitis (prostatitis chronica exacerbata), which are unresponsive to the classical antibiotic therapy, may be an indication for applying targeted antibiotic therapy performed through an intraprostatic injection. The antibiotic is selected in accordance with the result of the microbiological examination of the semen and the assessment of the antibiogram. The most frequently administers antibiotics were: gentamicin, amoxicillin with clavulanic acid, piperacillin. Gentamicin 80 mg is dissolved and administered in the amount of 1 ml to each lobe under USG control with the use of an intrarectal transducer. Piperacillin 2 g is dissolved in 3 ml of the solution and administered in the amount of 1.5 ml to each lobe. While administering the antibiotic it is important to distribute it evenly over the entire lobe and especially on the central zone. After administering the antibiotic to the prostate one should control the uniformity of its distribution within the scope of both lobes using the USG 3D option. The antibiotic solution containing microbubbles of air is visible as a hyperechogenic area (Fig. 4)(16, 17).


The standards of an ultrasound examination of the prostate gland. Part 2
The three-dimensional ultrasound examination (USG 3D) of the prostate gland: A. The coronal section of the prostate gland before the intraprostatic administration of the antibiotic; B. The image of the prostate gland in a coronal section after the administration of the antibiotic – the control of the distribution of the antibiotic. Two symmetric hyperechogenic areas which became visible after the injection of the antibiotic are the image of a solution administered to the prostate tissue
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5392554&req=5

f0004: The three-dimensional ultrasound examination (USG 3D) of the prostate gland: A. The coronal section of the prostate gland before the intraprostatic administration of the antibiotic; B. The image of the prostate gland in a coronal section after the administration of the antibiotic – the control of the distribution of the antibiotic. Two symmetric hyperechogenic areas which became visible after the injection of the antibiotic are the image of a solution administered to the prostate tissue
Mentions: Persistent, recurrent symptoms of chronic prostatitis (prostatitis chronica exacerbata), which are unresponsive to the classical antibiotic therapy, may be an indication for applying targeted antibiotic therapy performed through an intraprostatic injection. The antibiotic is selected in accordance with the result of the microbiological examination of the semen and the assessment of the antibiogram. The most frequently administers antibiotics were: gentamicin, amoxicillin with clavulanic acid, piperacillin. Gentamicin 80 mg is dissolved and administered in the amount of 1 ml to each lobe under USG control with the use of an intrarectal transducer. Piperacillin 2 g is dissolved in 3 ml of the solution and administered in the amount of 1.5 ml to each lobe. While administering the antibiotic it is important to distribute it evenly over the entire lobe and especially on the central zone. After administering the antibiotic to the prostate one should control the uniformity of its distribution within the scope of both lobes using the USG 3D option. The antibiotic solution containing microbubbles of air is visible as a hyperechogenic area (Fig. 4)(16, 17).

View Article: PubMed Central - PubMed

ABSTRACT

The paper discusses the rules of the proper performing of the ultrasound examination of the prostate gland. It has been divided into two parts: the general part and the detailed part. The first part presents the necessary requirements related to the ultrasound equipment needed for performing transabdominal and transrectal examinations of the prostate gland. The second part presents the application of the ultrasound examination in benign prostatic hyperplasia, in cases of prostate inflammation and in prostate cancer. Ultrasound examinations applied in the diagnostics of benign prostatic hyperplasia accelerated the diagnosis, facilitated the qualification to surgery and the selection of the treatment method. The assessment of the size of the prostate gland performed using the endorectal ultrasound examination is helpful in making the choice between transurethral electroresection and adenomectomy. In prostate inflammation this examination should be performed with particular gentleness due to pain ailments. The indication for performing the examination in acute inflammation is the suspicion of prostate abscess. In chronic, exacerbating prostatitis it is possible to perform an intraprostatic antibiotic injection. In the recent years increased morbidity and detectability of prostate gland cancer is observed among men. In Poland it ranks second (13%) among diseases occurring in men. The indication for an endorectal examination is the necessity to assess the size of the prostate gland, its configuration, the echostructure in classical ultrasonography, the vascularization in an ultrasound examination performed with power doppler and, if possible, the differences in the gland tissue firmness (consistency) in elastography. The ultrasound examination is used for performing the mapping biopsy of the prostate gland – from routine, strictly defined locations, the targeted biopsy – from locations suspected of neoplastic proliferation and the staging biopsy – from the neurovascular bundles, the seminal vesicles, from the apex of the prostate and from the periprostatic tissue – this type of biopsy is supposed to help in determining local staging of the neoplastic disease. The ultrasound examination is also helpful during the treatment of the neoplasm performed using brachytherapy or using the method of ultrasonic ablation which is still in the phase of clinical trials.

No MeSH data available.