Suprapubic versus transrectal ultrasonography in assessing the volume of the prostate and the transition zone in patients with benign prostatic hyperplasia

Prassopoulos, Panos; Charoulakis, Nicholas; Anezinis, Ploutarchos; Daskalopoulos, George; Cranidis, Angelos; Gourtsoyiannis, N.

doi:10.1007/s002619900017

Cited by 24 publications

(19 citation statements)

References 9 publications

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“…Justification for the use of ultrasound in determination of prostate volume was based on findings that have proven that there was no statistical difference in prostate volume measured by transrectal ultrasound compared to abdominopelvic ultrasound [ 13 – 16 ].…”

Section: Methodsmentioning

confidence: 99%

Prostate-specific antigen density values among patients with symptomatic prostatic enlargement in Nigeria

et al. 2016

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BackgroundThis study aims to estimate the prostate-specific antigen density (PSAD) cutoff level for detecting prostate cancer (CAP) in Nigerian men with “grey zone PSA” (4–10 ng/ml) and normal digital rectal examination findings. We addressed this research question: Is the international PSAD cutoff of 0.15 ideal for detecting CAP in our symptomatic patients with “grey zone PSA?”MethodsAim: To estimate the prostate-specific antigen density (PSAD) cutoff level for detecting CAP in Nigerian men with “grey zone PSA” (4–10 ng/ml) and normal digital rectal examination findings.Design: Prospective.Setting: A tertiary medical center in Enugu, Nigeria.Participants: Two hundred and fifty-four men with either benign prostatic hyperplasia (BPH) or CAP were recruited.Intervention: Patients with PSA above 4 ng/ml or abnormal digital rectal examination or hypoechoic lesion in the prostate were biopsied.Outcome measures: PSAD and histology report of BPH or CAP.ResultsNinety-seven patients had CAP while 157 had benign prostatic hyperplasia (BPH). Seventy-two patients had their serum PSA value within the range of 4.0 and 10 ng/ml. PSAD cutoff level to detect CAP was 0.04 (sensitivity 95.88 %; specificity 28.7 %).ConclusionsThe PSAD cutoff level generated for Nigerian men in this study is 0.04 which is relatively different from international consensus. This PSAD cutoff level has a positive correlation with histology and could detect patients with CAP who have “grey zone PSA.”

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Section: Methodsmentioning

confidence: 99%

Prostate-specific antigen density values among patients with symptomatic prostatic enlargement in Nigeria

et al. 2016

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“…Initially, estimation of prostate volume was done by transabdominal ultrasound but this has transitioned to the use of transrectal ultrasound. With respect to prostate volume estimation there is no significant difference between measured prostate volumes;[ 7 ] if the comfort of the patient is being considered, suprapubic ultrasound has an advantage over transrectal ultrasound (TRUS) since it is better tolerated. [ 8 ]…”

Section: Introductionmentioning

confidence: 99%

The utility of digital rectal examination in estimating prostate volume in a rural hospital setting

et al. 2015

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Objectives:To determine the correlation between prostate volume estimated by digital rectal examination (DRE) and that estimated by abdominal ultrasound in the same patients.Patients and Methods:Men who presented to our urology outpatient clinic with lower urinary tract symptoms were recruited in this study. We estimated the prostate size by digital rectal examination using the sliding scale as a guide and subsequently measured the prostate volume by transabdominal ultrasound.Results:A total of 100 patients completed this study. The mean age was 65.6 ± 9.84 years. The Kappa's reliability test comparing the prostate size estimated by DRE and the prostate size measured by transabdominal ultrasound was 0.579832, the Kappa's standard error was 0.097768 and Kappa's t value was 5.93. The Kappa's reliability test fell into good agreement range (0.4–0.75). This is further validated by the Pearson's correlation test ascertaining correlation between Ultrasound and DRE and generated a correlation coefficient® of 0.59 (P = 0.00). This implies a high positive correlation between ultrasound estimated prostate volume and that estimated by DRE that is statistically significant (P < 0.01).Conclusion:Estimation of prostate volume by digital rectal examination is reliable. This is very important in an environment where esoteric laboratory facilities are not readily available, and the clinician has to depend mainly on his clinical acumen.

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“…Lavage following drainage allows for antibiotics to be introduced directly into the post-drainage cavity ( 26 ). TRUS is usually safe to perform except in a few cases where TRUS is contraindicated such as in patients with severe haemorrhoids, anal fistulas, fissures or after abdominoperineal resection ( 27 ).…”

Section: Treatmentmentioning

confidence: 99%

Management of prostate abscess in the absence of guidelines

2017

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In contemporary practice, the number of patients presenting with prostatic abscess have significantly declined due to the widespread use of antibiotics. However, when faced with the pathology, prostatic abscess tends to pose a challenge to clinicians due to the difficulty of diagnosis and lack of guidelines for treatment. Treatment consists of an array of measures including parenteral broad-spectrum antibiotic administration and abscess drainage.

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Suprapubic versus transrectal ultrasonography in assessing the volume of the prostate and the transition zone in patients with benign prostatic hyperplasia

Cited by 24 publications

References 9 publications

Prostate-specific antigen density values among patients with symptomatic prostatic enlargement in Nigeria

Prostate-specific antigen density values among patients with symptomatic prostatic enlargement in Nigeria

The utility of digital rectal examination in estimating prostate volume in a rural hospital setting

Management of prostate abscess in the absence of guidelines

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