Imaging of the Benign Conditions of the Prostate and Seminal Vesicles

  • Javier Casillas


In this chapter we present an overview of diagnostic imaging procedures of a variety of benign conditions of the prostate and seminal vesicles starting with benign prostatic hyperplasia, a very common and clinically important urologic problem. Benign prostatic hyperplasia (BPH), also called nodular hyperplasia, benign prostatic hypertrophy, adenomatous hypertrophy, and glandular and stromal hyperplasia, is a common but poorly understood prostatic abnormality. Although unproved, the clinical disease is most likely a florid example of the normal aging process of an organ that depends on tropic hormones for its normal maintenance.1


Benign Prostatic Hyperplasia Seminal Vesicle Chronic Prostatitis Ejaculatory Duct Nonbacterial Prostatitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Murphy WM, Urological Pathology. Philadelphia, Saunders, 1989: 147–215Google Scholar
  2. 2.
    Paulson D, Diseases of the prostate. Clin Symp 1989; 41: 1–10PubMedGoogle Scholar
  3. 3.
    Hamper UM, Sheth S. Prostate ultrasonography. Semin Roentgenol 1993; 28: 57–73PubMedCrossRefGoogle Scholar
  4. 4.
    Rifkin MD, Ultrasound of the Prostate. New York, Raven, 1988: 191–220Google Scholar
  5. 5.
    Scheckowitz EM, Resnick MI. Imaging of the prostate: benign prostatic hyperplasia. Urol Clin North Am 1995; 22: 321–332PubMedGoogle Scholar
  6. 6.
    Kirby RS. The clinical assessment of benign prostatic hyperplasia. Cancer 1992; 70(Suppl): 1CrossRefGoogle Scholar
  7. 7.
    Birch NC, Hurst G, Doyleø PT. Serial residual volumes in men with prostatic hypertrophy. Br J Urol 1987; 62: 571–573CrossRefGoogle Scholar
  8. 8.
    McClennan BL. Diagnostic imaging evaluation of benign prostatic hyperplasia. Urol Clin North Am 1990; 17: 517–536PubMedGoogle Scholar
  9. 9.
    Pollack HM. Imaging of the prostate gland. Eur Urol 1991; 20(Suppl2): 50–58PubMedGoogle Scholar
  10. 10.
    Chang Y, Hricak H. Magnetic resonance imaging of the prostate gland. Semin Ultrasound CT MR 1988; 9: 343PubMedGoogle Scholar
  11. 11.
    Schnall MD, Lenkinski RE, Pollack HM, et al. Prostate MR imaging with an endorectal surface coil. Radiology 1989; 172: 570–574PubMedGoogle Scholar
  12. 12.
    Nghiem HT, Kellman GM, Sandberg SA, Craigø BM. Cystic lesions of the prostate. Radiographics 1990; 10: 635–650PubMedGoogle Scholar
  13. 13.
    McDermott VG, Meakan TJ, Stolpen AH, Schnall MD. Prostatic and periprostatic cysts: findings on MR imaging. AJR 1995; 164: 123–127PubMedGoogle Scholar
  14. 14.
    Schurke TD, Kaplan GW. Prostatic utricle cysts (müllerian duct cysts). J Urol 1978; 119: 765–767Google Scholar
  15. 15.
    Schwartz JM, Bosniak MA, Hulnick DH, et al. Computed tomography of midline cysts of the prostate. J Comput Assist Tomogr 1988; 12: 215–218PubMedCrossRefGoogle Scholar
  16. 16.
    Witten DM, Myers GH. Emmett’s Clinical Urography, 4th ed. Philadelphia, Saunders, 1977: 765–774Google Scholar
  17. 17.
    Novak RW, Raines RB, Solle AN. Clear cell carcinoma in a müllerian duct cyst. Am J Clin Pathol 1981; 76: 339–341PubMedGoogle Scholar
  18. 18.
    Aragona F, Spinelli C, Campatelli A, D’Elia F. Urinary retention due to a müllerian duct cyst: role of ultrasonically guided aspiration in the diagnosis and treatment. J Urol 1985; 134: 364–366PubMedGoogle Scholar
  19. 19.
    Littrup PJ, Lee F, McLeary RD, et al. Transrectal ultrasound of the seminal vesicles and ejaculatory ducts: clinical correlation. Radiology 1988; 168: 625–628PubMedGoogle Scholar
  20. 20.
    Elder JS, Mostwin JC. Cyst of the ejaculatory duct/urogenital sinus. J Urol 1984; 132: 768–771PubMedGoogle Scholar
  21. 21.
    Reiser C, Griffin TC. Cysts of the prostate. J Urol 1964; 91: 282–286Google Scholar
  22. 22.
    Cotran RS, Kumar V, Robbins SL. Robbins’ Pathological Basis of Disease, 4 th ed. Philadelphia, Saunders, 1989: 1119–1121Google Scholar
  23. 23.
    Hamper UM, Epstein JI, Sheth S, et al. Cystic lesions of the prostate gland: a sonographic-pathologic correlation. J Ultrasound Med 1990; 9: 395–402PubMedGoogle Scholar
  24. 24.
    Griffiths GJ, Crooks AJR, Roberts EE, et al. Ultrasonic appearances associated with prostatic inflammation: a preliminary study. Clin Radiol 1984; 35: 343–345PubMedCrossRefGoogle Scholar
  25. 25.
    Dahnert WF, Hamper UM, Walsh PC, et al. The echogenic focus in prostatic sonograms with xero-radiographic and histopathologic correlation. Radiology 1986; 159: 95–100PubMedGoogle Scholar
  26. 26.
    Hamper UM, Sheth S, Walsh PC, et al. Bright echogenic foci in early prostatic carcinoma: sonographic and pathological correlation. Radiology 1990; 176: 339–343PubMedGoogle Scholar
  27. 27.
    Asch MR, Toi A. Seminal vesicles: imaging and intervention using transrectal ultrasound. J Ultrasound Med 1991; 10: 19–23PubMedGoogle Scholar
  28. 28.
    Murphy William M. Urological Pathology. Seminal Vesicles. Philadelphia, Saunders, 1989 Philadelphia: 209–2Google Scholar
  29. 29.
    Ramchandani PR, Banner MP, Pollack HM. Imaging of the seminal vesicles. Semin Roentgenol 1993; 18: 83–91CrossRefGoogle Scholar
  30. 30.
    Amendola MA. Conventional radiographic contrast procedures. In: Fisher MR, Kricun ME (eds) Imaging of the Pelvis. Rockville, MD, Aspen, 1989: 50–103Google Scholar
  31. 31.
    Abbitt P, Watson C, Howards S. Abnormalities of the seminal tract causing infertility: diagnosis with endorectal sonography. AJR 1991; 157: 337–339PubMedGoogle Scholar
  32. 32.
    Secaf E, Nuruddin R, Hricak H, et al. MR imaging of the seminal vesicles. AJR 1991; 156: 989–994PubMedGoogle Scholar
  33. 33.
    Schnall MD, Pollack HM, Arsdalen KV, Kressel HY. The seminal tract in patients with ejaculatory dysfunction: MR imaging with an endorectal surface coil. AJR 1992; 159: 337–341PubMedGoogle Scholar
  34. 34.
    Guoldi GF, Volpe A, Polottini EC, et al. Confronto tra la risonanzo magnetica e la altre tecniche ad immagini nell’ accentometo della patologia delle vescicole seminali. Clin Ter 1993; 142: 369–373Google Scholar
  35. 35.
    King BF, Hattery RR, Lieber MM, et al. Congenital cystic disease of the seminal vesicle. Radiology 1991; 178: 207–211PubMedGoogle Scholar
  36. 36.
    Alpern MB, Dorfman RE, Gross BH, et al. Seminal vesicle cysts: association with adult policystic kidney disease. Radiology 1991; 180: 79–80PubMedGoogle Scholar
  37. 37.
    Keenan JF, Mathewø DR. Ultrasonographic diagnosis of seminal vesicle cysts in polycystic kidney disease. J Ultrasound Med 1993; 15: 343–344Google Scholar
  38. 38.
    Gevenois PA, Van Sinoy ML, Sintzoff SA, et al. Cysts of the prostate and seminal vesicles: MR findings in 11 cases. AJR 1990; 155: 1021–1024PubMedGoogle Scholar
  39. 39.
    Heavey JA, Pfister RC, Meares EM. Giant cyst of the seminal vesicle with renal agenesis. AJR 1987; 149: 139–140Google Scholar
  40. 40.
    Kenney PH, Leeson MD. Congenital anomalies of the seminal vesicles: spectrum of computed tomographic findings. Radiology 1983; 149: 274–251Google Scholar
  41. 41.
    Sue DE, Chicola C, Brant-Zawadaki N, et al. MR imaging in seminal vesiculitis. J Comput Assist Tomogr 1989; 13: 662–664PubMedCrossRefGoogle Scholar
  42. 42.
    Banner MP, Hassler R. The normal seminal vesiculogram. Radiology 1978; 128: 339–344PubMedGoogle Scholar
  43. 43.
    Dunnick NR, Ford K, Osborne D, et al. Seminal vesiculography: limited value in vesiculitis. Urology 1982; 20: 454–457PubMedCrossRefGoogle Scholar
  44. 44.
    Kang YS, Fishman EK, Kuhlman JE, Goldman SM. Seminal vesicle abscess: spectrum of computed tomographic findings. Urol Radiol 1989; 11: 182–185PubMedCrossRefGoogle Scholar
  45. 45.
    Witten DM, Myers GH, Utz DC, Emmett’s Clinical Urography, 4th ed. Philadelphia, Saunders, 1977: 919Google Scholar
  46. 46.
    Kaji Y, Sugimurs K, Nagaoko S, Ishida T. Case report: amyloid deposition in seminal vesicles mimicking tumor invasion from bladder cancer: MR findings. J Comput Assist Tomogr 1992; 16: 989–991PubMedCrossRefGoogle Scholar
  47. 47.
    Ganabathi K, Chadwick D, Feneley RCL, Gingell JC. Haemospermia [review]. Br J Urol 1992; 69: 225–230.PubMedCrossRefGoogle Scholar
  48. 48.
    Pryor JP. Hematospermia. In: Whittfield HN, Hendrix W (eds) Textbook of Genitourinary Surgery, 1st ed, Vol 2. Edinburgh, Churchill Livingstone, 1983: 1202–1211Google Scholar
  49. 49.
    Etherington RJ, Clements R, Griffiths GJ, et al. Transrectal ultrasound in the management of haemospermia. Clin Radiol 1990; 41: 175–177PubMedCrossRefGoogle Scholar
  50. 50.
    Davisø NS, Mergverian PA, DiMarco PL, et al. Primary adenocarcinoma of the seminal vesicle presenting as bladder tumor. Urology 1988; 32: 466–468CrossRefGoogle Scholar

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© Springer Science+Business Media New York 1998

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  • Javier Casillas

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