Premium
Effectiveness of ultrasound in the preoperative evaluation of patients with prostatism
Author(s) -
Hendrikx A. J. M.,
Doesburg W. H.,
Reintjes A. G. M.,
Strijk S. P.,
Debruyne F. M. J.
Publication year - 1988
Publication title -
the prostate
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.295
H-Index - 123
eISSN - 1097-0045
pISSN - 0270-4137
DOI - 10.1002/pros.2990130302
Subject(s) - medicine , prostatism , prostatitis , ultrasound , outpatient clinic , prostate , neck of urinary bladder , urology , radiology , surgery , urinary bladder , cancer , prostate disease
To avoid the disadvantages of intravenous urography (IVU) and urethrocystoscopy (UCS), we investigated prospectively their replacement by ultrasound, performed during one visit in the outpatient department, in the evaluation of patients with symptoms of prostatism. One hundred twenty patients (aged 44‐89 years) were included in this study. All patients underwent two main diagnostic procedures: ultrasound of the kidneys and bladder and transrectal ultrasound of the prostate (procedure A 1 ) This was compared with IVU and UCS (procedure A 2 ). Following procedure A 1 , the main diagnoses made were benign prostatic hypertrophy in 84 patients, prostatitis in 24 patients, and prostatic cancer in 12 patients. By following procedure A 2 , the diagnosis was changed in 20 cases. Fourteen patients had a bladder neck sclerosis, and six had a urethral stricture. There was no relevant diagnostic difference between IVU and ultrasound of the kidneys and bladder. Ultrasound of the prostate gives better information on prostatic abnormalities than does IVU or UCS. A patient with prostatism can be screened completely during one visit at the outpatient department. Only for detection of bladder neck sclerosis and urethral strictures does UCS remain preferable.