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Related Experiment Videos

Imaging of the prostate. Benign prostatic hyperplasia

E M Scheckowitz1, M I Resnick

  • 1Department of Urology, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

The Urologic Clinics of North America
|May 1, 1995
PubMed
Summary

Imaging tests like ultrasound are key for evaluating benign prostatic hyperplasia (BPH) and its effects on the urinary tract. Other methods like CT scans and MR imaging are generally not recommended for routine BPH assessment.

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Area of Science:

  • Urology
  • Medical Imaging

Background:

  • Benign prostatic hyperplasia (BPH) is a common condition affecting the prostate and urinary tract in aging men.
  • Accurate imaging is crucial for assessing BPH-related complications and guiding treatment decisions.

Purpose of the Study:

  • To review the utility of various imaging modalities in the evaluation of patients with BPH.
  • To delineate the specific applications and limitations of each imaging technique.

Main Methods:

  • Review of common imaging studies used for prostate and urinary tract evaluation in BPH patients.
  • Description of the capabilities of ultrasonography, intravenous urography, urethrography, CT scans, and MR imaging.

Main Results:

  • Ultrasound is versatile, assessing upper tract changes, post-void residuals, prostatic volume, and internal prostate anatomy.

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  • Intravenous urography is indicated for specific symptoms like hematuria or urinary stones.
  • Urethrography is useful for post-prostatectomy patients with persistent symptoms.
  • CT and MR imaging are generally not routinely used due to cost and lack of specific benefit in typical BPH evaluation.

    • Conclusions:

    • Ultrasonography is a primary imaging tool for BPH evaluation.
    • Selective use of intravenous urography and urethrography is appropriate for specific clinical scenarios.
    • Advanced imaging like CT and MRI have limited routine application in BPH management.