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Seminal vesicles. Imaging and intervention using transrectal ultrasound
Summary
Transrectal ultrasound (TRUS) improves seminal vesicle evaluation, revealing uncommon disorders like ectopic ureters and tuberculosis. This imaging technique aids in diagnosing male infertility and guiding interventions.
Area of Science:
- Radiology
- Urology
- Medical Imaging
Background:
- Seminal vesicles are challenging to assess clinically.
- Transrectal ultrasound (TRUS) has emerged as a key tool for evaluating seminal vesicle structures and disorders.
- Radiologists need to understand normal and abnormal ultrasound appearances of the seminal vesicles.
Observation:
- This paper details four uncommon seminal vesicle disorders visualized by TRUS.
- Cases include an ectopic ureter entering the seminal vesicle, symmetrically enlarged seminal vesicles associated with male infertility, a pelvic arteriovenous malformation mimicking a seminal vesicle cyst, and tuberculosis.
- TRUS was employed for guided needle aspiration and contrast injection in two patients.
Findings:
- Transrectal ultrasound effectively demonstrates a range of rare seminal vesicle pathologies.
- The imaging modality can identify structural abnormalities contributing to male infertility.
- TRUS-guided procedures offer a safe and effective method for seminal vesicle interventions.
Implications:
- Increased adoption of TRUS necessitates enhanced radiologist familiarity with seminal vesicle diseases.
- TRUS provides valuable diagnostic insights into previously difficult-to-evaluate seminal vesicle conditions.
- This technique supports both diagnosis and therapeutic interventions for seminal vesicle disorders.