Ultrasound Imaging in Assessment of the Male Patient with Voiding Dysfunction

  • Lewis Chan
  • Tom Jarvis
  • Stuart Baptist
  • Vincent Tse

Abstract

Ultrasound imaging is often performed in the assessment of the male patient with lower urinary symptoms and voiding dysfunction. The male pelvis can be imaged by transabdominal, transperineal and transrectal approaches. This chapter covers the application of transabdominal and transperineal ultrasound in the assessment of voiding dysfunction in the male patient with technical tips for clinicians and case studies covering topics of voiding dysfunction, post-prostatectomy incontinence, male slings and physiotherapy.

Supplementary material

Video 4.1

Middle lobe video (MP4 4895 kb)

Video 4.2

Post RP (AVI 42666 kb)

Video 4.3

Male PF contraction (MP4 4882 kb)

Video 4.4

Male sling (MP4 4891 kb)

318120_1_En_4_MOESM5_ESM.avi (29.1 mb)
Video 4.5Failed male sling (AVI 29781 kb)

References

  1. 1.
    Griffiths KA, Ly LP, Jin B, Chan L, Handelsman DJ. Transperineal ultrasound for measurement of prostate volume: validation against transrectal ultrasound. J Urol. 2007;178(4 Pt1):1375–9.CrossRefPubMedGoogle Scholar
  2. 2.
    Blatt AH, Titus J, Chan L. Ultrasound measurement of bladder wall thickness in the assessment of voiding dysfunction. J Urol. 2008;179(6):2275–8.CrossRefPubMedGoogle Scholar
  3. 3.
    Franco G, De Nunzio C, Constantino L, Tubaro A, Ciccarello M. Ultrasound assessment of intravesical prostatic protrusion and detrusor wall thickness – new standards for noninvasive bladder outlet obstruction diagnosis? J Urol. 2010;183:2270–4.CrossRefPubMedGoogle Scholar
  4. 4.
    Chia SJ, Heng CT, Chan SP, Foo KT. Correlation of intravesical prostatic protrusion with bladder outlet obstruction. BJU Int. 2003;914(4):371–4.CrossRefGoogle Scholar
  5. 5.
    Herschorn S, Thuroff J, Bruschini H, Grise P, Hanus T, Kakizaki H, Kirschner-Hermanns R, Nitti V, Schick E. Surgical treatment of urinary incontinence in men. In: Incontinence Proceedings of the 3rd International Consultation on Incontinence, vol 2. Paris: Health Publication Ltd; 2005. p. 1241–96.Google Scholar
  6. 6.
    Groutz A, Blaivas J, Chaikin D, Weiss J, Verhaaren M. The pathophysiology of post-radical prostatectomy incontinence: a clinical and video urodynamics study. J Urol. 2000;163(6):1767–70.CrossRefPubMedGoogle Scholar
  7. 7.
    Suskind AM, DeLancey JO, Hussain HK, Montgomery JS, Latini JM, Cameron AP. Dynamic MRI evaluation of urethral hypermobility post- radical prostatectomy. NeurourolUrodyn. 2014;33:312–5.Google Scholar
  8. 8.
    Stafford RE, Ashton-Miller JA, Constantinou CE, Hodges PW. A new method to quantify male pelvic floor displacement from 2D transperineal ultrasound images. Urology. 2013;81(3):685–9.CrossRefPubMedCentralPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Lewis Chan
    • 1
  • Tom Jarvis
    • 2
  • Stuart Baptist
    • 3
  • Vincent Tse
    • 1
  1. 1.Department of UrologyConcord Repatriation General HospitalSydneyAustralia
  2. 2.Department of UrologyPrince of Wales HospitalRandwickAustralia
  3. 3.Sydney Sports and Orthopaedic Physiotherapy GroupSydneyAustralia

Personalised recommendations