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Ultrasound-Power Doppler, Ultrasound, Genital / Reproductive system male, Ultrasound-Spectral Doppler, Diagnostic procedure, Acute, Inflammation, Infection
A. V. Prochorov, A. I. Gromov; Moscow/RU
АC was detected in 26 (21%) patients.
Non-destructive form of AC was in 25 (20%) and abscess CG - 1 (1%).
At 8 (31%) patients with AC in history there were indications moved transmitted genital infections.
АC manifested by pain in the perineum,
leukocyturia and systemic inflammatory reaction.
Digital rectal examination CG was informative in 10 (39%) patients.
Ultrasound CG have a rounded form,
increased sizes (volume CG over 1.5 cm3,
the asymmetry index over 150%),
high vascular density (more than 5 signals per 1 cm2),
high-speed and high resistance bloodstream (V max over 15 cm/s,
RI less than 0.6).
Abscess CG was observed in the patient of 64 years with chronic prostatitis and diabetes mellitus type 2 moderate.
computed tomography was identified mature abscess left CG 4 x 3 x 4 cm (24 cm3),
revealed in the posterior urethra and into the tissue of the perineum.
Inoculation of pus found the growth of Enterococcus faecalis.
The abscess was successfully drained by fine-needle perineal puncture under ultrasound control (Fig.
1 – 6).