The procedure of prostatography is a difficult technique, it is rarely used today because of its cost.
What kind of procedure, what are its features
We are talking about the study of the prostate by x-ray methods. The principle of operation is based on irradiation of a specific area with rays and further computer processing. The prostate is a small rounded organ located near the male urethra. Due to its location, it is not visible in simple pictures, so additional contrast is required.
This kind of study allows you to determine the parameters of the gland. And the size of the glandular elements is an extremely important criterion for the objective state of an organ. The norm is considered the average organ volume not higher than 36 cm3 in patients under the age of 50 years. If it exceeds the permissible size, the doctor suspects prostatic hyperplasia. This indicator is extremely important for the selection of adequate treatment of the disease.
Pros and Cons of this Survey
The technique is highly informative, it allows you to clearly determine the size, structure and structure of the gland. It is used to clarify complex, confusing diagnoses. But due to its invasiveness, duration of execution, the technique is prescribed less and less. Prostatography was replaced by ultrasound of the gland, which is distinguished by its safety and the absence of contraindications. This is the most modern, most accessible, informative study that displaces prostatography.
Where do they perform diagnostics of this kind, what are the indications for it?
Typically, this kind of research is carried out in special centers equipped with appropriate equipment.
Use a technique to study the structure of the prostate. Be sure to be prescribed if there is a drop in sexual desire. Apply when blood appears in the urine, pain in the inguinal zone or in the perineum. This technique diagnoses the etiology of obstructed urination. Prostatography helps to distinguish the main urological ailments, to differentiate, to choose adequate therapy. Mostly difficulties arise when making such diagnoses:
- oncological lesion;
- gland abscessing.
Contrasting is a must in this study. A parenteral contrast element technique is used to study tumor neoplasms. Applied contrast enhancement according to a special scheme.
Contrast is a special iodine substance. It is necessary for maximum clarity of visualization of the examined elements. It is introduced by means of a catheter a few minutes before the diagnosis. It has neutrality, low toxicity to the body, therefore, does not have any effect on the patient's condition.
The function of the contrast medium is significant. By staining the vessels, further contrast of the soft tissues is improved. This significantly increases the quality of visualization, the use of contrast is justified primarily in neoplasms.
The dosage of the contrast element is always selected individually. It all depends on the age and weight of the patient. The substance is excreted for several days.
Contrast enters the body in different ways: directly into the gland, into the bladder, into the surrounding tissue.
Preparation for such an examination, especially
This kind of research does not require special preparation. The patient gets rid of clothing below the waist and expects the introduction of contrast.
Contrast is rapidly absorbed into the bloodstream and spreads throughout the body, so pictures should be taken no later than 3-5 minutes after the injection. Radiographs are performed in two positions: lying on the back and on the side.
During the examination, discomfort and pain are noted. Motion during the study minimizes the information content of the images.
Prostatography is necessarily performed by an experienced radiologist who owns the technique of working on this kind of equipment. For this, the specialist will need to graduate from a medical university, undergo specialization in general radiology, and only then complete additional narrowly targeted prostatography courses.
The patient is indoors alone. The specialist who controls the process is in the adjacent room. Between the rooms there is a window that allows the doctor to directly monitor the process.
After diagnosis, the patient must necessarily drink a lot of fluids. This is necessary to cleanse the body of contrast in a short time.
When such a diagnosis is contraindicated, what kind of complications provokes?
The study categorically does not conduct babies. For adults, there are no absolute contraindications. A number of specialists attribute hematuria to relative contraindications.
All complications, without exception, directly relate to trauma to the near-bubble tissue. There is severe damage to the vascular structures, intestinal elements. Therefore, serious bleeding and peritonitis are possible.
Interpretation of the results
With adenomas, filling defects with the correct edges are clearly visualized. Neoplasms significantly change the contour of organ elements.
Images are processed by a special program under the guidance of a doctor. Such processing often takes no more than an hour. Urgent cases are issued within half an hour.
The patient receives several large images on his hands and a detailed transcript of them for health reasons. Data can be sent to the patient by e-mail.
It is important to show the results to a doctor or specialist whose work is associated with an identified pathology. Only by collecting all the studies together and evaluating the clinical picture, the doctor makes the final diagnosis.