Transabdominal and Transrectal Ultrasound Evaluation of Prostatic Volume and Prostatic Diseases with Clinical Correlation

Abstract

Prostatic diseases affect almost every elderly male. These are benign prostatic hyperplasia (BPH), prostatitis and prostatic cysts and prostatic carcinoma. Prostatic carcinoma is mostly slow growing, remain sub clinical and undetected. As a result, its detection at a later stage will have higher mortality rate. Hence it is important to diagnose and differentiate these conditions accurately at an early stage, so that appropriate treatment can be undertaken. So, the present study has been undertaken correctly to diagnose prostatic problems. In this study we have worked on the integration of transabdominal ultrasound (TAS) and transrectal ultrasound (TRUS) findings with PSA levels for the diagnosis of prostatic disorders. A total of 50 male patients with symptoms related to prostatic diseases were evaluated. After necessary physical and per rectal examinations, patients were subjected to TAS and TRUS evaluation, examination and findings were noted and compared. On digital rectal examination, smooth prostate was seen in 33 (66%) cases and hard and nodular prostate was seen in 17 (34%) cases. Out of the 33 (66%) patients, 25 cases had benign enlargement of prostate and out of the 17 (34%) patients, 10 (58.8%) cases had carcinoma prostate. TAS showed 60% and TRUS showed 50% of benign prostatic hyperplasia (BPH) cases, followed by Ca Prostate in 18% and 26% of cases. Extra prostatic involvement was found in 5 out of 13 cases diagnosed as carcinoma prostate by TRUS. So, TRUS is a better examination for minor details of prostatic disease and local invasion. The sensitivity of TRUS for carcinoma of prostate was found to be 100%.

Keywords: Prostatic diseases, digital rectal examination, transabdominal ultrasound (TAS), transrectal ultrasound (TRUS)

Cite this Article

Singh I, Ansari AM, Ali MA, et al. Transabdominal and transrectal ultrasound evaluation of prostatic volume and prostatic diseases with clinical correlation. Research & Reviews: Journal of Surgery. 2018; 7(2): 1–8p.