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Prostate

  • Carlo Canepa
  • Eugene M. Fine
Chapter

Abstract

The prostate can be easy to visualize with point-of-care ultrasound. It is typically described as being walnut-sized (which tends to enlarge with aging) with a homogeneous echotexture located inferior to the bladder neck. A full bladder provides a very nice acoustic window and greatly facilitates visualization of the prostate. Transrectal ultrasound imaging of the prostate is best for improved resolution imaging. Prostate imaging can provide useful information for the evaluation of urinary retention, hematuria, cancer, urolithiasis, urinary tract infections, anuria, pelvic pain, and silent pathology [1–3]. The primary goal of a focused prostate ultrasound is to determine the size, shape, and assess for pathology such as obstructive uropathy and cancer. Advantages of using ultrasound in prostate imaging are like those of other organ assessments: decreased cost and risk compared to computed tomography or magnetic resonance imaging, not necessarily requiring contrast agents, painless, noninvasive, inexpensive, efficient, accurate, provides immediate information, and lacks ionizing radiation.

Keywords

Prostate Pelvis Bladder BPH Stone 

Supplementary material

Video 33.1

The hyperechoic areas represent tiny radioactive titanium seeds placed in the bladder to treat cancer. This bladder also has a very large diverticulum that looks about the same size as the bladder. Video courtesy of Carlo Canepa (MOV 6715 kb)

References

  1. 1.
    Guideline developed in collaboration with the American College of Radiology; Society of Radiologists in Ultrasound. AIUM practice guideline for the performance of an ultrasound evaluation of the prostate (and surrounding structures). J Ultrasound Med. 2015;34(8):1–6.Google Scholar
  2. 2.
    Walz PH, Bertermann H. Ultrasound examination of bladder and prostate. Urol Int. 1990;45(4):217–30.CrossRefPubMedCentralPubMedGoogle Scholar
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    Tyloch JF, Wieczorek AP. The standards of an ultrasound examination of the prostate gland. Part 1. J Ultrason. 2016;16(67):378–90.CrossRefPubMedCentralPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Emergency MedicineHarvard Medical School, Massachusetts General HospitalBostonUSA
  2. 2.Department of UrologyIcahn School of Medicine at Mount SinaiNew YorkUSA

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