By U. Jonas (auth.), Professor Dr. Udo Jonas, Professor Dr. N. F. Dabhoiwala, Professor Dr. Frans M. J. Debruyne (eds.)
Endourology presents a precis of different endourological modalitites, particularly the extra complex and debatable strategies, corresponding to the antegrade resection of urethral valves, the transperineal I one hundred twenty five seed implanations, the spoonloop resectoscope, versatile endoscopy, teflon injection to right vesicoureteral reflux, stone manipulation in calyceal diverticula, in addition to the extraperitoneal pelvioscopy. those thoughts are supported by way of descriptions of the traditional endourological approaches.
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Cancer infIltration in the surrounding tissues is suggested by irregularity in the capsular echoes. 1S. Rounded prostatic adenoma which displaces the glandular masses of the peripheral prostate Endoscanning of the Bladder and Prostate 53 tern is very difficult. Elongation of the prostate in the epidiameter is the most commonly demonstrated fmding. 16a + b). To the extent that tumor infIltration outside the confInes of the prostatic capsule into the surrounding tissues and the seminal vesicles can be demonstrated adequately by transrectal ultrasonography, in the author's opinion, it is very doubtful whether even in experienced hands T1 and T2lesions can be differentiated sufficiently accurately, using a 4 MHz transducer.
This layer of edema can be seen to increase if endoscanning is repeated after endoresection of a tumor (see Fig. 6). In experienced hands the correlation between pTI-4 and U 1-4 can be high, depending on how accurately the endoscanning of the tumor has been performed and whether other factors such as necrosis and calcification atop of the tumor are present as distorting factors for ultrasonic diagnosis (Fig. 12). Endoscanning of the bladder is usually about the only way to establish a nonurothelial bladder tumor in an early stage.
A Hypoechoic lesion in left lobe ofthe prostate. b Ultrasonically guided needle biopsy was performed.