Skip to main content

Intraoperative Urologic Ultrasound

  • Chapter
  • First Online:
Practical Urological Ultrasound

Abstract

Interventional ultrasonography (US) in urology includes many different diagnostic and therapeutic minimally invasive procedures. It also represents a noninvasive tool that, if placed in the hands of a trained surgeon, can aid various types of urologic interventions, allowing for on-the-fly, real-time visualization of important structures and operative activity that is both safe and inexpensive. Newer machines and probes allow for ultrasound application intraoperatively in virtually all areas of the urogenital tract and are increasingly used by urologists as an adjunct to standard operating techniques.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. X12C4 Robotic Drop-In. Available from: https://www.bkmedical.com/transducers/x12c4-robotic-drop-in/.

  2. Goodwin WE, Casey WC, Woolf W. Percutaneous trocar (needle) nephrostomy in hydronephrosis. J Am Med Assoc. 1955;157(11):891–4.

    Article  CAS  PubMed  Google Scholar 

  3. Gu Z, et al. Percutaneous nephroscopic with holmium laser and ultrasound lithotripsy for complicated renal calculi. Lasers Med Sci. 2010;25(4):577–80.

    Article  PubMed  Google Scholar 

  4. Gupta S, et al. Percutaneous nephrostomy with real-time sonographic guidance. Acta Radiol. 1997;38(3):454–7.

    Article  CAS  PubMed  Google Scholar 

  5. Bird VG, Fallon B, Winfield HN. Practice patterns in the treatment of large renal stones. J Endourol. 2003;17(6):355–63.

    Article  PubMed  Google Scholar 

  6. Skolarikos A, et al. Ultrasound-guided percutaneous nephrostomy performed by urologists: 10-year experience. Urology. 2006;68(3):495–9.

    Article  PubMed  Google Scholar 

  7. Alken P, Hutschenreiter G, Günther R. Percutaneous kidney stone removal. Eur Urol. 1982;8(5):304–11.

    Article  CAS  PubMed  Google Scholar 

  8. Miano R, et al. Position: prone or supine is the issue of percutaneous nephrolithotomy. J Endourol. 2010;24(6):931–8.

    Article  PubMed  Google Scholar 

  9. El-Nahas AR, et al. Colonic perforation during percutaneous nephrolithotomy: study of risk factors. Urology. 2006;67(5):937–41.

    Article  PubMed  Google Scholar 

  10. Basiri A, et al. Ultrasonographic versus fluoroscopic access for percutaneous nephrolithotomy: a randomized clinical trial. J Endourol. 2008;22(2):281–4.

    Article  PubMed  Google Scholar 

  11. Radecka E, Magnusson A. Complications associated with percutaneous nephrostomies. A retrospective study. Acta Radiol. 2004;45(2):184–8.

    Article  CAS  PubMed  Google Scholar 

  12. von der Recke P, Nielsen MB, Pedersen JF. Complications of ultrasound-guided nephrostomy. A 5-year experience. Acta Radiol. 1994;35(5):452–4.

    Article  PubMed  Google Scholar 

  13. Lewis S, Patel U. Major complications after percutaneous nephrostomy-lessons from a department audit. Clin Radiol. 2004;59(2):171–9.

    Article  CAS  PubMed  Google Scholar 

  14. Torres Muñoz A, et al. Percutaneous renal biopsy of native kidneys: efficiency, safety and risk factors associated with major complications. Arch Med Sci. 2011;7(5):823–31.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  15. Fergany AF, Hafez KS, Novick AC. Long-term results of nephron sparing surgery for localized renal cell carcinoma: 10-year followup. J Urol. 2000;163(2):442–5.

    Article  CAS  PubMed  Google Scholar 

  16. Lau WK, et al. Matched comparison of radical nephrectomy vs nephron-sparing surgery in patients with unilateral renal cell carcinoma and a normal contralateral kidney. Mayo Clin Proc. 2000;75(12):1236–42.

    Article  CAS  PubMed  Google Scholar 

  17. Huang WC, et al. Chronic kidney disease after nephrectomy in patients with renal cortical tumours: a retrospective cohort study. Lancet Oncol. 2006;7(9):735–40.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Lee CT, et al. Surgical management of renal tumors 4 cm. or less in a contemporary cohort. J Urol. 2000;163(3):730–6.

    Article  CAS  PubMed  Google Scholar 

  19. Baust JG, et al. Cryosurgery–a putative approach to molecular-based optimization. Cryobiology. 2004;48(2):190–204.

    Article  CAS  PubMed  Google Scholar 

  20. Baust JG, Gage AA. The molecular basis of cryosurgery. BJU Int. 2005;95(9):1187–91.

    Article  PubMed  Google Scholar 

  21. Curry NS, Bissada NK. Radiologic evaluation of small and indeterminant renal masses. Urol Clin North Am. 1997;24(3):493–505.

    Article  CAS  PubMed  Google Scholar 

  22. Onik GM, et al. Ultrasound characteristics of renal cryosurgery. Urology. 1993;42(2):212–5.

    Article  CAS  PubMed  Google Scholar 

  23. Kaczmarek BF, et al. Robotic ultrasound probe for tumor identification in robotic partial nephrectomy: initial series and outcomes. Int J Urol. 2013;20(2):172–6.

    Article  PubMed  Google Scholar 

  24. Rogers CG, et al. Maximizing console surgeon independence during robot-assisted renal surgery by using the Fourth Arm and TilePro. J Endourol. 2009;23(1):115–21.

    Article  PubMed  Google Scholar 

  25. Liao JC, Su L-M. Advances in image-guided urologic surgery: Springer-Verlag New York; 2015.

    Google Scholar 

  26. Kaczmarek BF, et al. Comparison of robotic and laparoscopic ultrasound probes for robotic partial nephrectomy. J Endourol. 2013;27(9):1137–40.

    Article  PubMed  Google Scholar 

  27. Lockhart ME, Smith JK, Kenney PJ. Imaging of adrenal masses. Eur J Radiol. 2002;41(2):95–112.

    Article  PubMed  Google Scholar 

  28. Hijioka S, et al. Contrast-enhanced endoscopic ultrasonography (CE-EUS) findings in adrenal metastasis from renal cell carcinoma. J Med Ultrason (2001). 2011;38(2):89–92.

    Article  Google Scholar 

  29. Bang HJ, et al. Percutaneous cryoablation of metastatic renal cell carcinoma for local tumor control: feasibility, outcomes, and estimated cost-effectiveness for palliation. J Vasc Interv Radiol. 2012;23(6):770–7.

    Article  PubMed  Google Scholar 

  30. Rosenstein D, McAninch JW. Urologic emergencies. Med Clin North Am. 2004;88(2):495–518.

    Article  PubMed  Google Scholar 

  31. Ozkan B, et al. Suprapubic bladder aspiration with or without ultrasound guidance. Clin Pediatr (Phila). 2000;39(10):625–6.

    Article  CAS  Google Scholar 

  32. Miano R, et al. Morphological evaluation of the male external urethral sphincter complex by transrectal ultrasound: feasibility study and potential clinical applications. Urol Int. 2012;89(3):275–82.

    Article  PubMed  Google Scholar 

  33. Coppola R. Diagnosis of prostatic carcinoma by means of transperineal needle biopsy. Riforma Med. 1963;77:1282–4.

    CAS  PubMed  Google Scholar 

  34. Igel TC, et al. Systematic transperineal ultrasound guided template biopsy of the prostate in patients at high risk. J Urol. 2001;165(5):1575–9.

    Article  CAS  PubMed  Google Scholar 

  35. About the Prostate. Available from: https://perineologic.com/prostate/#biopsyinfo.

  36. Crawford ED, et al. Clinical staging of prostate cancer: a computer-simulated study of transperineal prostate biopsy. BJU Int. 2005;96(7):999–1004.

    Article  PubMed  Google Scholar 

  37. Gonder MJ, Soanes WA, Smith V. Experimental prostate cryosurgery. Invest Urol. 1964;1:610–9.

    CAS  PubMed  Google Scholar 

  38. Onik G, et al. US characteristics of frozen prostate. Radiology. 1988;168(3):629–31.

    Article  CAS  PubMed  Google Scholar 

  39. Littrup PJ, et al. Prostatic cryotherapy: ultrasonographic and pathologic correlation in the canine model. Urology. 1994;44(2):175–83; discussion 183–4

    Article  CAS  PubMed  Google Scholar 

  40. Scardino P, Carlton C. Combined interstitial and external irradiation for prostatic cancer. In: Principles and management of urologic cancer. Baltimore: Williams & Wilkins; 1983. p. 392–408.

    Google Scholar 

  41. Whitmore WF, Hilaris B, Grabstald H. Retropubic implantation of iodine 125 in the treatment of prostatic cancer. 1972. J Urol. 2002;167(2 Pt 2):981–3.. discussion 984

    Article  PubMed  Google Scholar 

  42. DeLaney TF, et al. Preoperative irradiation, lymphadenectomy, and 125iodine implantation for patients with localized carcinoma of the prostate. Int J Radiat Oncol Biol Phys. 1986;12(10):1779–85.

    Article  CAS  PubMed  Google Scholar 

  43. Aronowitz JN. Dawn of prostate brachytherapy: 1915–1930. Int J Radiat Oncol Biol Phys. 2002;54(3):712–8.

    Article  PubMed  Google Scholar 

  44. Holm HH, et al. Transperineal 125iodine seed implantation in prostatic cancer guided by transrectal ultrasonography. J Urol. 1983;130(2):283–6.

    Article  CAS  PubMed  Google Scholar 

  45. Ho AY, et al. Radiation dose predicts for biochemical control in intermediate-risk prostate cancer patients treated with low-dose-rate brachytherapy. Int J Radiat Oncol Biol Phys. 2009;75(1):16–22.

    Article  CAS  PubMed  Google Scholar 

  46. Potters L, et al. Postoperative nomogram predicting the 9-year probability of prostate cancer recurrence after permanent prostate brachytherapy using radiation dose as a prognostic variable. Int J Radiat Oncol Biol Phys. 2010;76(4):1061–5.

    Article  PubMed  Google Scholar 

  47. Hinnen KA, et al. Long-term biochemical and survival outcome of 921 patients treated with I-125 permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys. 2010;76(5):1433–8.

    Article  PubMed  Google Scholar 

  48. Nag S, et al. Intraoperative planning and evaluation of permanent prostate brachytherapy: report of the American Brachytherapy Society. Int J Radiat Oncol Biol Phys. 2001;51(5):1422–30.

    Article  CAS  PubMed  Google Scholar 

  49. Han BH, et al. Prostate brachytherapy seed identification on post-implant TRUS images. Med Phys. 2003;30(5):898–900.

    Article  PubMed  Google Scholar 

  50. Rove KO, Sullivan KF, Crawford ED. High-intensity focused ultrasound: ready for primetime. Urol Clin North Am. 2010;37(1):27–35.. Table of Contents

    Article  PubMed  Google Scholar 

  51. Gelet A, et al. Local control of prostate cancer by transrectal high intensity focused ultrasound therapy: preliminary results. J Urol. 1999;161(1):156–62.

    Article  CAS  PubMed  Google Scholar 

  52. Warwick R, Pond J. Trackless lesions in nervous tissues produced by high intensity focused ultrasound (high-frequency mechanical waves). J Anat. 1968;102(Pt 3):387–405.

    CAS  PubMed  PubMed Central  Google Scholar 

  53. Chaussy C, Thüroff S. The status of high-intensity focused ultrasound in the treatment of localized prostate cancer and the impact of a combined resection. Curr Urol Rep. 2003;4(3):248–52.

    Article  PubMed  Google Scholar 

  54. Dewhirst MW, et al. Basic principles of thermal dosimetry and thermal thresholds for tissue damage from hyperthermia. Int J Hyperth. 2003;19(3):267–94.

    Article  CAS  Google Scholar 

  55. Ukimura O, et al. Real-time transrectal ultrasonography during laparoscopic radical prostatectomy. J Urol. 2004;172(1):112–8.

    Article  PubMed  Google Scholar 

  56. Zuniga A, Lawrentschuk N, Jewett MA. Organ-sparing approaches for testicular masses. Nat Rev Urol. 2010;7(8):454–64.

    Article  PubMed  Google Scholar 

  57. Cormier CM, et al. Urolithiasis in pregnancy: current diagnosis, treatment, and pregnancy complications. Obstet Gynecol Surv. 2006;61(11):733–41.

    Article  PubMed  Google Scholar 

  58. Andreoiu M, MacMahon R. Renal colic in pregnancy: lithiasis or physiological hydronephrosis? Urology. 2009;74(4):757–61.

    Article  PubMed  Google Scholar 

  59. Loughlin KR, Ker LA. The current management of urolithiasis during pregnancy. Urol Clin North Am. 2002;29(3):701–4.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kim, F.J., da Silva, R.D. (2021). Intraoperative Urologic Ultrasound. In: Fulgham, P.F., Gilbert, B.R. (eds) Practical Urological Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-030-52309-1_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-52309-1_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-52308-4

  • Online ISBN: 978-3-030-52309-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics