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Updated: May 23, 2026
05:25
Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Imaging in lower urinary tract infections
1Radiology Department, Paris Centre University Hospitals, site Cochin, 27, rue du Faubourg Saint-Jacques, 75014 Paris, France. alexschull@yahoo.com
Diagnostic and Interventional Imaging
|April 24, 2012
Summary
Sonography aids in diagnosing epididymo-orchitis and prostatitis by revealing abnormalities and potential complications. Advanced imaging like diffusion MRI helps differentiate chronic prostatitis from prostate cancer.
Area of Science:
- Urology
- Radiology
- Medical Imaging
Background:
- Sonography is a key imaging tool for various genitourinary conditions.
- Accurate diagnosis is crucial for effective treatment and preventing complications.
Purpose of the Study:
- To outline the role of sonography and other imaging modalities in diagnosing epididymo-orchitis, prostatitis, and cystitis.
- To highlight differential diagnoses and indications for imaging in these conditions.
Main Methods:
- Sonography, including Doppler sonography, for epididymo-orchitis and prostatitis.
- Endorectal sonography for prostatitis parenchyma analysis.
- Diffusion MRI for differentiating chronic prostatitis and prostate cancer.
- Imaging indications for recurrent or complicated cystitis.
Main Results:
- Sonography reveals non-homogenous, hypertrophied epididymis/testis with increased vascularity in epididymo-orchitis.
- Sonography identifies blockages, abscesses, or pyelonephritis in prostatitis.
- Diffusion MRI distinguishes chronic prostatitis from prostate cancer.
- Imaging in cystitis detects causative factors, calcifications, emphysema, or upper tract involvement.
Conclusions:
- Sonography is valuable for diagnosing epididymo-orchitis and prostatitis, guiding treatment, and avoiding misdiagnosis.
- Diffusion MRI is essential for differentiating chronic prostatitis from prostate cancer.
- Imaging is indicated for specific scenarios in cystitis to identify underlying causes and complications.
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