SonoPhile

Prostate

To assess
To assess the prostate volume, identify any prostate disorders, abnormal growth and help diagnose the cause of a man's infertility.
Limitation
None
Patient Preparation
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Rectum should be emptied before the scan.
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The bladder must be half-full to identify the bladder while scanning.
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The patient lies in a supine position.
Equipment Setup
Curvilinear transducer with a frequency range of 2-9 MHz that allows for appropriate penetration and resolution of anatomy, depending on patient’s body habitus
Common Pathology
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Cysts
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Benign Prostatic Hyperplasia (BPH)
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Prostate Carcinoma
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Prostatitis
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Enlarged seminal vesicles
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Stones in the seminal vesicles, prostate or ejaculatory ducts
Scanning Technique
Transabdominal Technique
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Using the bladder as a window, the probe is tilted roughly 30° caudal.
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Slight compression is required to guarantee that the shadow artefact from the bladder's base does not conceal the inferior region of the prostate.
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Sagittal and axial images of the prostate are shown.
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Volume should be calculated using the machine settings, including length, breadth, and height.
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Images of suspicious malignancies using power Doppler and contrast-enhanced Doppler
Look for:
o Longitudinal and transverse images through the prostate, particularly if lobulated and deforming the overlying bladder.
o Measurements in 3 dimensions (transverse, AP, and long) only if requested explicitly by the ordering provider or interpreting radiologist.
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Axial and sagittal view of prostate

