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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

A comparison of the images obtained during the transrectal ultrasound examination of the prostate gland in the greyscale, the elastographic examination with the specimen obtained after radical prostatectomy. A. TRUS – within the scope of the peripheral zone, on the left a hypoechogenic area is visible which is clearly demarcated from the rest of the gland; the left neurovascular bundle is widened. B. The elastographic examination – within the scope of the peripheral zone, on the left an area with significantly more firm consistency than that of the remaining tissue of the gland is visible – intense blue color. C. The macroscopic image of the specimen obtained after prostatectomy – transverse section. Within the scope of the left peripheral zone an area which is clearly demarcated from the rest of the gland is clearly visible – it is the neoplastic proliferation
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f0012: A comparison of the images obtained during the transrectal ultrasound examination of the prostate gland in the greyscale, the elastographic examination with the specimen obtained after radical prostatectomy. A. TRUS – within the scope of the peripheral zone, on the left a hypoechogenic area is visible which is clearly demarcated from the rest of the gland; the left neurovascular bundle is widened. B. The elastographic examination – within the scope of the peripheral zone, on the left an area with significantly more firm consistency than that of the remaining tissue of the gland is visible – intense blue color. C. The macroscopic image of the specimen obtained after prostatectomy – transverse section. Within the scope of the left peripheral zone an area which is clearly demarcated from the rest of the gland is clearly visible – it is the neoplastic proliferation

Mentions: The elastographic examination allows for demonstrating places, the consistency of which is more firm than that of their surrounding. Provided that the ultrasound machine enables the performing of this examination it should be mandatorily carried out because it allows for demonstrating areas of significantly more firm consistency which may not be noticed in a classical examination. This examination increases the sensitivity of the endorectal ultrasound diagnostics of the prostate, which is especially important and useful in detecting neoplastic focuses during prostate biopsy (Fig. 12)(22–28).


The standards of an ultrasound examination of the prostate gland. Part 2
A comparison of the images obtained during the transrectal ultrasound examination of the prostate gland in the greyscale, the elastographic examination with the specimen obtained after radical prostatectomy. A. TRUS – within the scope of the peripheral zone, on the left a hypoechogenic area is visible which is clearly demarcated from the rest of the gland; the left neurovascular bundle is widened. B. The elastographic examination – within the scope of the peripheral zone, on the left an area with significantly more firm consistency than that of the remaining tissue of the gland is visible – intense blue color. C. The macroscopic image of the specimen obtained after prostatectomy – transverse section. Within the scope of the left peripheral zone an area which is clearly demarcated from the rest of the gland is clearly visible – it is the neoplastic proliferation
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f0012: A comparison of the images obtained during the transrectal ultrasound examination of the prostate gland in the greyscale, the elastographic examination with the specimen obtained after radical prostatectomy. A. TRUS – within the scope of the peripheral zone, on the left a hypoechogenic area is visible which is clearly demarcated from the rest of the gland; the left neurovascular bundle is widened. B. The elastographic examination – within the scope of the peripheral zone, on the left an area with significantly more firm consistency than that of the remaining tissue of the gland is visible – intense blue color. C. The macroscopic image of the specimen obtained after prostatectomy – transverse section. Within the scope of the left peripheral zone an area which is clearly demarcated from the rest of the gland is clearly visible – it is the neoplastic proliferation
Mentions: The elastographic examination allows for demonstrating places, the consistency of which is more firm than that of their surrounding. Provided that the ultrasound machine enables the performing of this examination it should be mandatorily carried out because it allows for demonstrating areas of significantly more firm consistency which may not be noticed in a classical examination. This examination increases the sensitivity of the endorectal ultrasound diagnostics of the prostate, which is especially important and useful in detecting neoplastic focuses during prostate biopsy (Fig. 12)(22–28).

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