Abstract
Primary prostatic disease is usually assessed by digital palpation of the prostate. This method lacks objectivity and has been shown to be inaccurate, especially in the staging of primary prostatic cancer. This paper describes the investigation of 200 subjects using per rectal ultrasound. Of 70 patients with histological evidence of carcinoma of the prostate, 96% were correctly diagnosed ultrasonically and 87% correctly diagnosed by digital palpation. Of the 37 patients with ultrasonic evidence of a capsular breach, only 65% were diagnosed as such by digital palpation. A study of 10 cadaver specimens confirmed the accuracy of per rectal ultrasound as a technique for staging primary prostatic cancer . The ultrasonic appearances of the prostate, seminal vesicles and bladder base are described. Per rectal ultrasound is acceptable to patients, and its use is recommended in all cases where accurate assessment of primary prostatic cancer is required.
References
Jul 1, 1977·Journal of Computer Assisted Tomography·R J SukovD J Confer
Jan 1, 1979·Urologic Radiology·J M Price, A J Davidson
Feb 1, 1979·Journal of Clinical Ultrasound : JCU·K HaradaY Tanahashi
Jun 1, 1974·Journal of Clinical Ultrasound : JCU·H WatanabeM Saito
Jan 1, 1967·Scandinavian Journal of Urology and Nephrology·L AnderssonU Brunk
Mar 10, 1956·Journal of the American Medical Association·H J JEWETT
Citations
Jan 1, 1984·International Urology and Nephrology·K Kocí, V Vomácka
Sep 1, 1984·Clinical Radiology·G J GriffithsW B Peeling
May 1, 1987·Clinical Radiology·G J GriffithsK T Evans
Dec 20, 1999·Seminars in Roentgenology·N F Wasserman
Sep 16, 2003·Ultrasound Quarterly·T VoT L Peters
Apr 1, 1990·British Journal of Urology·R ClementsP G Ryan
May 1, 1992·British Journal of Urology·D Rickards
Jul 1, 1983·The British Journal of Radiology·S R WildT Anderson
Dec 1, 1989·The British Journal of Radiology·D R JonesW B Peeling
Dec 1, 1986·Ultrasound in Medicine & Biology·B D Fornage
Jan 1, 1990·Ultrasound in Medicine & Biology·A J HendrikxF M Debruyne
Aug 1, 1985·British Journal of Urology·C J BeacockA C Buck
Dec 1, 1983·British Journal of Urology·D RickardsI Isherwood
Dec 1, 1983·British Journal of Urology·P I OkaforG D Chisholm
Jul 1, 1994·Diseases of the Colon and Rectum·G L DanielA M Vernava
Jan 29, 2019·Journal of the History of Biology·Jean-Baptiste Grodwohl
Jan 1, 1989·The Prostate. Supplement·W B Peeling
Jan 1, 1988·The Prostate·H JakobsenT Hald
Jan 1, 1985·The Prostate·F LeeT A McHugh
Feb 1, 1990·The Journal of Urology·M DevonecP Perrin
Aug 1, 1984·The Journal of Urology·W B Peeling, G J Griffiths
Mar 15, 1984·Cancer·J E PontesG P Murphy
Oct 1, 1986·Journal of Clinical Ultrasound : JCU·D H RichmondM C Brown