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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.


Related in: MedlinePlus

The transrectal ultrasound examination, the longitudinal section of the prostate gland: A. A needle during the puncture of the prostate abscess is visible; A, B. the abscess content has been completely removed.
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f0006: The transrectal ultrasound examination, the longitudinal section of the prostate gland: A. A needle during the puncture of the prostate abscess is visible; A, B. the abscess content has been completely removed.

Mentions: The clinical image of the disease is very characteristic. The possibility of the occurrence of an abscess should be taken into consideration when in the period preceding the diagnosis the patient experiences high body temperature, pain in the lower abdomen, problems with urination, strong pain during the palpation examination performed per rectum, sometimes the symptom of fluctuation is palpable. The diagnosis of a prostate abscess is an indication for the evacuation of the abscess. The treatment method of choice is the evacuation of the abscess by means of a transrectal puncture and drainage under USG control (Fig. 6).


The standards of an ultrasound examination of the prostate gland. Part 2
The transrectal ultrasound examination, the longitudinal section of the prostate gland: A. A needle during the puncture of the prostate abscess is visible; A, B. the abscess content has been completely removed.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f0006: The transrectal ultrasound examination, the longitudinal section of the prostate gland: A. A needle during the puncture of the prostate abscess is visible; A, B. the abscess content has been completely removed.
Mentions: The clinical image of the disease is very characteristic. The possibility of the occurrence of an abscess should be taken into consideration when in the period preceding the diagnosis the patient experiences high body temperature, pain in the lower abdomen, problems with urination, strong pain during the palpation examination performed per rectum, sometimes the symptom of fluctuation is palpable. The diagnosis of a prostate abscess is an indication for the evacuation of the abscess. The treatment method of choice is the evacuation of the abscess by means of a transrectal puncture and drainage under USG control (Fig. 6).

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.


Related in: MedlinePlus