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[Prostatic venous plexus: ultrasonic guidance for prostatic inflammation?].

C K Chuang¹, M K Lai

¹Department of Urology, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.

Changgeng Yi Xue Za Zhi

|March 1, 1991

Summary

Ultrasonic diagnosis of prostatitis is challenging. Prominent prostatic venous plexus, especially with periurethral halo or calculi, can indicate prostatic inflammation, aiding diagnosis.

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Area of Science:

Urology
Medical Imaging
Prostate Health

Background:

Ultrasonic features of normal prostate, benign prostatic hyperplasia, and prostatic carcinoma are established.
Ultrasonic diagnosis of prostatitis remains a diagnostic challenge.

Purpose of the Study:

To evaluate the diagnostic significance of prostatic venous plexus in identifying prostatitis using transrectal sonography.

Main Methods:

Analysis of 190 transrectal sonograms for prostatic disease.
Correlation of ultrasonic findings with clinical and pathological results.
Assessment of prostatic venous plexus, periurethral halo zone, and prostatic calculi.

Main Results:

Prostatic venous plexus was present in 89 cases.
Prostatic venous plexus was considered a normal anatomical feature in only 28.5% of inflamed prostates.
The combination of prostatic venous plexus with periurethral halo zone and/or prostatic calculi increased diagnostic accuracy for prostatitis.

Conclusions:

Prostatic venous plexus alone is not a definitive sign of prostatitis.
The presence of prostatic venous plexus alongside periurethral halo zone and/or prostatic calculi is a significant indicator for diagnosing prostatic inflammation.

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