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[Echography in prostatitis]
G Vespasiani1, G Virgili, A Giurioli
1Cattedra di Urologia, Università de l'Aquila.
Abstract:
In many infertile patients abnormalities in sperm are due to prostatic inflammatory disease. In the male reproductive system temporary episodes of inflammation, caused by newly discovered micro-organisms such as Chlamydia Trachomatis and Ureaplasma Urealyticum, may occur frequently and cause sub-clinical inflammation. This rapidly became chronic and induce the development of anti-spermatozoon antibodies. This latent clinical pattern and lack of symptoms often means diagnosis is late and medical treatment inadequate. In recent years attention has been focused on transrectal ultrasonography as a possible gold standard for diagnosing prostatic inflammatory disease. Widespread use of technologically advanced instruments has significantly improved the quality and definition of prostatic images. This paper discusses the current role of transrectal ultrasonography in the diagnosis of prostatic inflammatory disease. Abnormalities in the ultrasound pattern, caused by infection, are analyzed in detail and discussed critically in order to assess their role as markers of prostatic inflammation.
Insights
Prostatic inflammatory disease, often caused by infections like Chlamydia Trachomatis, can lead to infertility. Transrectal ultrasonography shows promise in diagnosing this condition by identifying specific ultrasound pattern abnormalities.
Area of Science:
- Reproductive Medicine
- Urology
- Medical Imaging
Background:
- Prostatic inflammatory disease is a significant cause of male infertility.
- Subclinical inflammation from microorganisms like Chlamydia Trachomatis and Ureaplasma Urealyticum can lead to chronic prostatitis and anti-spermatozoon antibodies.
- Delayed diagnosis and inadequate treatment are common due to latent clinical patterns and lack of symptoms.
Purpose of the Study:
- To discuss the role of transrectal ultrasonography in diagnosing prostatic inflammatory disease.
- To analyze and critically evaluate ultrasound pattern abnormalities as markers of prostatic inflammation.
Main Methods:
- Review of current literature on transrectal ultrasonography for prostatic inflammation.
- Analysis of ultrasound pattern abnormalities indicative of infection-induced inflammation.
- Critical assessment of ultrasound findings as diagnostic markers.
Main Results:
- Transrectal ultrasonography is emerging as a potential gold standard for diagnosing prostatic inflammatory disease.
- Specific abnormalities in ultrasound patterns correlate with infection-induced inflammation.
- Technological advancements have improved the diagnostic quality of prostatic imaging.
Conclusions:
- Transrectal ultrasonography is a valuable tool for diagnosing prostatic inflammatory disease.
- Identifying characteristic ultrasound abnormalities can aid in early diagnosis and management.
- Further research is needed to fully establish ultrasound patterns as definitive markers of prostatic inflammation.