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Color Doppler ultrasonographic scanning in acute bacterial prostatitis

dc.contributor.authorPalmas, A
dc.contributor.authorCoelho, M
dc.contributor.authorFonseca, J
dc.date.accessioned2019-05-30T14:17:26Z
dc.date.available2019-05-30T14:17:26Z
dc.date.issued2010
dc.description.abstractOBJECTIVES: The purpose of this study was to reveal parenchymal and vascular changes in acute prostatitis and to determine the role of color Doppler sonography in monitoring patients with this pathology. MATERIAL AND METHODS: Twenty five patients with a clinical diagnosis of acute bacterial prostatitis (NIH 1) admitted to our institution were studied prospectively. Clinical, analytical and microbiological data were recorded. Color Doppler and transrectal ultrasonography (TRUS) were performed 1 week after antibiotic therapy and afterwards at 6 weeks, 3 and 6 month visits. The findings were recorded and scored using standardized criteria to characterize the degree and distribution of prostatic vascularity. RESULTS: Blood flow was observed to the entire prostate capsule (grade 2) in 23 (92%) patients at first visit (1 week) and were present in 11 (44%), 6 (24%) and 2 (8%) at 6 weeks, 3 and 6 month visits respectively. The amount and distribution of blood flow within the prostatic parenchyma were evaluated using several criteria. Using the 2-point scale flow were classified as grade 2 22 (88%), 18 (72%), 12 (48%) and 3 (12%) patients at first, second, third and fourth visit respectively. Similar findings were noted using the Doppler spot scale which revealed that flow was grade 2 (15 spots or more) in 23 (92%), 19 (76%), 11 (44%) and 3 (12%) patients respectively. Mean number of Doppler spots in the prostate parenchyma was 23.1 +/- 11.1 at first visit, 10.3 +/- 9.5 after the end of therapy and 8.3 +/- 5.4 and 7.9 +/- 5.1 at 3 and 6 monthly respectively. CONCLUSIONS: Patients with acute prostatitis require prolonged treatment and subsequent follow up for at least 6 months. Color Doppler sonography is a useful tool in monitoring response to treatment and in predicting clinical outcome.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationArch Ital Urol Androl. 2010 Dec;82(4):271-4.pt_PT
dc.identifier.issn2282-4197
dc.identifier.urihttp://hdl.handle.net/10400.10/2279
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherPagePresspt_PT
dc.subjectBacterial infectionspt_PT
dc.subjectProstatitispt_PT
dc.subjectColor Doppler ultrasonographypt_PT
dc.titleColor Doppler ultrasonographic scanning in acute bacterial prostatitispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePaviapt_PT
oaire.citation.titleArchivio italiano di urologia, andrologiapt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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