Kongnyuy Michael, Frye Thomas, George Arvin K, Kilchevsky Amichai, Iyer Amogh, Kadakia Meet, Muthigi Akhil, Turkbey Baris, Wood Brad J, Pinto Peter A
Urologic Oncology Branch, National Cancer Institute, National Institute of Health, Bethesda, MD 20892, USA.
Molecular Imaging Program, National Cancer Institute, National Institute of Health, Bethesda, MD 20892, USA.
Case Rep Urol. 2015;2015:676930. doi: 10.1155/2015/676930. Epub 2015 Dec 30.
Ulcerative colitis (UC) is an inflammatory disease that specifically affects the colon. Ulcerative colitis is primarily treated medically and refractory disease is treated with proctocolectomy and ileal pouch-anal anastomosis (IPAA). Gastroenterologists advise against digital rectal exams, pelvic radiation therapy, and transrectal ultrasound (TRUS) biopsies of the prostates of ileal pouch-anal anastomosis patients. Any form of pouch manipulation can lead to severe bleeding, inflammation, and pain. Urologists are therefore faced with the challenge of doing a prostate biopsy without a transrectal ultrasound. We report the rare case of a patient with an ileal pouch-anal anastomosis who underwent in-bore transperineal MRI-guided biopsy of the prostate.
溃疡性结肠炎（UC）是一种专门影响结肠的炎症性疾病。溃疡性结肠炎主要通过药物治疗，难治性疾病则采用全结肠直肠切除术和回肠储袋肛管吻合术（IPAA）进行治疗。胃肠病学家建议对回肠储袋肛管吻合术患者的前列腺不要进行直肠指检、盆腔放射治疗和经直肠超声（TRUS）活检。任何形式的储袋操作都可能导致严重出血、炎症和疼痛。因此，泌尿科医生面临着在没有经直肠超声的情况下进行前列腺活检的挑战。我们报告了一例罕见的回肠储袋肛管吻合术患者接受经会阴腔内磁共振成像引导下前列腺活检的病例。
