ABSTRACT

Radiological imaging in patients with lower urinary tract symptoms origined Benign Prostatic Hyperplasia (BPH) is controversial. The aim of this review is evaluate radiological metods as Intravenous Pyelography (IVP), Transabdominal Ultrasound (TAUS) and Transrectal Ultrasound (TRUS)in patients with BPH.

IVP is replaced by ultrasound due to its cost and side effects. Evaluation with IVP or ultrasound is recommended in patients with elevated serum creatinin levels for the first investigation of BPH. Prostate volume, Intravesical Prostatic Protrusion (IPP) and postvoiding residual urine volume can be evaluated by TAUS. TRUS is also used to evaluate the prostate volume and the aditional patologies in prostate. These datas are useful in decision on progression and medical treatments of BPH. Retrograde Uretrography is used to evaluate the urethral strictures after the surgery of prostate.

Recently, the value of radiological imagings in patients decreases with BPH due to the developments of endoscopy. We thought that TAUS should be performed in patients with elevated serum creatinin levels. We believe that evaluation with TAUS or TRUS should be used to plan and select the best prosedure before the surgical treatment of BPH.