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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

  • Rectum should be emptied before the scan.

  • The bladder must be half-full to identify the bladder while scanning.

  • 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

  • Cysts

  • Benign Prostatic Hyperplasia (BPH)

  • Prostate Carcinoma

  • Prostatitis

  • Enlarged seminal vesicles

  • Stones in the seminal vesicles, prostate or ejaculatory ducts

 

Scanning Technique

Transabdominal Technique

  1. Using the bladder as a window, the probe is tilted roughly 30° caudal.

  2. Slight compression is required to guarantee that the shadow artefact from the bladder's base does not conceal the inferior region of the prostate.

  3. Sagittal and axial images of the prostate are shown.

  4. Volume should be calculated using the machine settings, including length, breadth, and height.

  5. 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.

Axial and sagittal view of prostate

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