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Prostate
Diagnostic Medical Sonography
73
Medical
Not Applicable
11/12/2011

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Term
3x4(x4)cm
Definition
how large is the prostate
Term
20g
Definition
how much does the prostate weigh?
Term
increases
Definition
what happens to the prostate as men reach 40+
Term
glandular
Definition
2/3 of the prosate tissue is ?
Term
fibromuscular tissue
Definition
1/3 of the prostate tissue is?
Term
retroperitoneum
Definition
the prostate is located where?
Term
floor of the urinary bladder and the urogenital diaphragm
Definition
the prostate is located between the ? of the ? and the ??
Term
base
Definition
the superior margin of the prostate is also known as
Term
prostatic fat and fascia
Definition
the gland is bound anteriorly by ?
Term
obturator internus and levator ani m.
Definition
the gland is bound laterally by?
Term
areaolar tissue and Denovilliers' fascia
Definition
the gland is bound posteriorly by the ?
Term
Denovilliers fascia
Definition
what separates the prostate from the rectum
Term
seminal vesicles
Definition
two sac like lateral structures that outpouch from the bas deferens
Term
seminal vessicles
Definition
posterior-superior aspect of the prostate
Term
ejaculatory ducts
Definition
the seminal vessicles join the vas deferens to form the ?
Term
ejactulatory ducts
Definition
what enter the base of the prostate to join the urethra at the venumontanum
Term
vas deferens
Definition
the seminal vessicles join the ? to form the ejactulatory ducts
Term
verumontanum
Definition
midpoint region btw the prostatic base and apex and surrounds the urethra
Term
proximal urethra
Definition
the ? urethra extends from the neck of the bladder to the base of the verumontanum
Term
distal urethra
Definition
the ? urethra begins at the verumontanum and extends to the apex of the gland
Term
transitional zone
Definition
5% of the glandular prostate
Term
trasitional zone
Definition
located in the central region on both sides of the proximal urethra
Term
parallel
verumontanum
Definition
the ducts of the transitional zone run ? to the urethra and end in the proximal urethra at the level of the ?
Term
central zone
Definition
25% of the prostatic glandular tissue
Term
central zone
Definition
located at the base of the base of the gland
Term
central zone
Definition
wedge-like, oriented horizontally, surrounds the ejaculatory ducts
Term
ejactulatory ducts
central zone
Definition
ducts of the vas deferens and seminal vesicles come together to form the ? which pass through the ? and join the urethra at the verumontanum
Term
peripheral zone
Definition
70% of the glandular tissue
Term
peripheral zone
Definition
consists of the posterior, lateral, and apical parts of the prostate and extends anteriorly.
Term
peripheral
Definition
zone where the ducts enter the urethra at, and distal to, the verumontanum
Term
anterior fibromuscular stroma
Definition
smooth muscle and fibrous tissue, thick non-glandular sheath of tissue that covers the entire anterior surface of the prostate
Term
homogenous with low level echoes
Definition
what is the normal appearance of the prostate?
Term
proximal urethra
Definition
the periurethral glandular tissue surrounds the ? is homogenous and isoechoic
Term
more echogenic
Definition
the central zone is normally ? than the peripheral zone
Term
corpora amylacea (calcified deposits)
Definition
the central zone is more echogenic than the peripheral zone because it has a greater amt of ? (?)
Term
hyperechoic
Definition
what is the echogenicity of the fibromuscular capsule?
Term
seminal vesicles
Definition
symmetrically paired structures?
Term
slightly less echogenic
Definition
what is the echogenicity of the seminal vesicles in comparison to the prostate
Term
vas deferens
Definition
tubular hypoechoic structures joining the seminal vesicles medially
Term
seminal vesicles
Definition
on a transverse scan of the vas deferens, they are round/oval are are located between the ?
Term
hyperechic line
Definition
ejaculatory ducts, when empty, can be seen as a ? joining the urethra
Term
echogenic walls
Definition
empty urethra is idendified by its ? coursing through the prostate
Term
biplanar endorectal probes
Definition
what type of probe is used today for prostate exams?
Term
both long and trans
Definition
what can the biplanar endorectal probe do that no other probe could do before it?
Term
5-8 MHz
Definition
what is the frequency range of endorectal probes?
Term
-self-administered enema 1 hr before exam to elimiate fecal material and reduce the risk of contamination of prostate
Definition
what is the preparation for a endorectal exam
Term
prophylatic antibiotics
Definition
If a bx is to be performed, what must be given before the procedure and continued afterwards?
Term
before the exam and continued 24-48 hrs after
Definition
how long are prophylactic antibiotics given?
Term
lithotomy, lateral decub, knee-chest prosition
Definition
the patient can be examined in the ? positions
Term
seminal vesicles
Definition
axial (long) scanning beginas at the level of the ?
Term
probe is gradually withdrawn
Definition
how is the apex viewed in a long axis from the seminal vesicles
Term
midline from the base to apex with portions of the seminal vesicle
Definition
sagittal (trans) scan begins where?
Term
clockwise and counterclockwise
Definition
in sagittal (trans) the probe is rotated ? to view the right and left sides of the gland
Term
prostatic carcinoma
Definition
second leading cause of death among american men
Term
age, genetic or racial makeup, hormonal influences, effects of BPH, dietary fat and infectious agents
Definition
what factors affect prostate cancer
Term
peripheral zone
Definition
70% of prostate cancers originate de novo in the ? zone
Term
back pain and obstruction of urinary outflow that may mimic BPH
Definition
clinical symptoms of prostate cancer
Term
hypoechoic
Definition
small cancers originating in the peripheral zone appear ?
Term
isoechoic to hyperechoic
Definition
small cancers appear hypoechoic but as the tumor enlarges what is the appearance of the tumor?
Term
hypoechoic peripheral zone lesion
Definition
what is the most commonly encountered finding of prostate cancer
Term
solid material within the normally fluid-filled structure
Definition
what does invasion of the tumor into the seminal vesicles look like
Term
BPH
Definition
affects 80-90% of adult men
Term
hormonal factors
Definition
what is the etiology of BPH
Term
decreased flow of urine, difficulty in initiating and terminating urinaryion, nocturia, and urinary retention
Definition
what are the clinical symptoms of BPH
Term
transitional zone
Definition
BPH originates where?
Term
prostatic caliculi
Definition
what is often encountered with BPH
Term
prostatitis
Definition
inflammation of the prostate
Term
fever, pelvic and low back pain, urinary freqency and urgency, dysuria
Definition
clinical symptioms of prostatitis
Term
peripheral zone
Definition
prostatitis usually involves the ? zone in the early stages
Term
acute prostatitis
Definition
hypoechoic rim surrounding gland, echo-free halo surrounding the periuretheral zone, diffuse low-level echoes
Term
chronic prostatitis
Definition
inhomogeneous, fluid-filled areas, caliculi present
Term
prostatic abscess
Definition
? may dev'p secondary to prostatitis
Term
prostatic cysts
Definition
freqently congenital, anechoic, sharp walls, good sound transmission
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