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Updated: Sep 4, 2025
05:35
Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance
Published on: June 6, 2025
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Transperineal Ultrasound Before and After Prostatectomy: Technical Approach and Description
Anna Colarieti1, Nadeem Shaida2, Nikesh Thiruchelvam3
1Unit of Radiology, IRCCS Policlinico San Donato, Milan, Italy.
Summary
Dynamic transperineal ultrasound (TPUS) is a feasible method for assessing pelvic floor function after radical prostatectomy (RP). This non-invasive technique can guide exercises to improve continence post-surgery.
Area of Science:
- Urology
- Pelvic Floor Imaging
- Post-Prostatectomy Rehabilitation
Background:
- Radical prostatectomy (RP) can lead to pelvic floor dysfunction and urinary incontinence.
- Assessing pelvic floor muscle function dynamically is crucial for post-prostatectomy rehabilitation.
Observation:
- Dynamic transperineal ultrasound (TPUS) was performed on 98 patients pre- and post-radical prostatectomy.
- Measurements included bladder neck angle and movement during rest, pelvic floor contraction (PFC), and Valsalva maneuver (VS) in supine and standing positions.
Findings:
- TPUS assessments were technically feasible in over 85% of supine and 90% of standing patients.
- The study demonstrated the reliability of TPUS for dynamic pelvic floor assessment post-RP.
Implications:
- TPUS provides a reliable, non-invasive method for evaluating pelvic floor function after prostatectomy.
- This technique may aid in guiding targeted exercises to enhance urinary continence recovery.
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