Hendrikx A J, Doesburg W H, Reintjes A G, Strijk S P, Debruyne F M
Department of Urology, St. Radboud University Hospital of Nijmegen, The Netherlands.
Prostate. 1988;13(3):199-208. doi: 10.1002/pros.2990130302.
To avoid the disadvantages of intravenous urography (IVU) and urethrocystoscopy (UCS), we investigated prospectively their replacement by ultrasound, performed during one visit in the outpatient department, in the evaluation of patients with symptoms of prostatism. One hundred twenty patients (aged 44-89 years) were included in this study. All patients underwent two main diagnostic procedures: ultrasound of the kidneys and bladder and transrectal ultrasound of the prostate (procedure A1). This was compared with IVU and UCS (procedure A2). Following procedure A1, the main diagnoses made were benign prostatic hypertrophy in 84 patients, prostatitis in 24 patients, and prostatic cancer in 12 patients. By following procedure A2, the diagnosis was changed in 20 cases. Fourteen patients had a bladder neck sclerosis, and six had a urethral stricture. There was no relevant diagnostic difference between IVU and ultrasound of the kidneys and bladder. Ultrasound of the prostate gives better information on prostatic abnormalities than does IVU or UCS. A patient with prostatism can be screened completely during one visit at the outpatient department. Only for detection of bladder neck sclerosis and urethral strictures does UCS remain preferable.
为避免静脉肾盂造影（IVU）和尿道膀胱镜检查（UCS）的缺点，我们前瞻性地研究了在门诊一次就诊期间用超声检查替代它们，用于评估有前列腺增生症状的患者。本研究纳入了120例患者（年龄44 - 89岁）。所有患者均接受了两项主要诊断程序：肾脏和膀胱超声检查以及经直肠前列腺超声检查（程序A1）。将其与IVU和UCS（程序A2）进行比较。在程序A1之后，主要诊断结果为84例良性前列腺增生、24例前列腺炎和12例前列腺癌。通过程序A2，20例患者的诊断结果发生了改变。14例患者有膀胱颈硬化，6例有尿道狭窄。IVU与肾脏和膀胱超声检查之间没有相关诊断差异。前列腺超声检查在前列腺异常方面比IVU或UCS能提供更好的信息。有前列腺增生症状的患者可在门诊一次就诊期间完成全面筛查。仅在检测膀胱颈硬化和尿道狭窄方面，UCS仍然更可取。
