Ultrasound of the Male Genitalia

ABOUT THIS BOOK

• Richly illustrated with ultrasound images
• Written by experts in the field of scrotal and penile ultrasound imaging
• Accompanied with a DVD containing videos that demonstrate techniques discussed in the book

Genital Ultrasound presents a comprehensive, evidence based reference book on genital ultrasound. The volume is divided into three sections: Genital Ultrasound Basics, Scrotal Ultrasound and Penile Ultrasound. The first section covers the history of ultrasound, including a discussion of regulations surrounding the performance of ultrasound examinations by urologists. This section also provides an in depth review of ultrasound physics, knobology and patient safety. The second and third sections begin with normal ultrasound embryology and anatomy, followed by ultrasound conventions and orientation, scanning protocol and technique. A discussion of transducer selection, the survey scan, color and Spectral Doppler is also included.

With broad contributions from authorities in the field, Genital Ultrasound is a valuable resource to urologists, andrologists and fellows and residents performing office ultrasound.

Content Level » Professional/practitioner
Related subjects » Internal Medicine - Urology

TABLE OF CONTENTS

1. GENITAL ULTRASOUND BASICS
a. Introduction
b. History
c. Regulatory Aspects of Diagnostic Ultrasound
d. Ultrasound Physics
e. Basic and Advanced
f. Clinical correlation
g. Knobology: striving for the perfect image
h. Patient Safety

2. SCROTAL ULTRASOUND
a. Normal Ultrasound Anatomy of the Testis and Paratesticular Structures
b. Orientation, Scanning protocol and Technique
c. Transducer selection
d. Survey scan
e. Color and Spectral Doppler
f. Documentation and templates
g. Indications
h. Scrotal Wall Lesions
i. Non-inflammatory
ii. Inflammatory
1. Cellulitis/scrotal wall abscess
2. Fournier’s gangrene
3. Miscellaneous scrotal skin lesions
4. Epidermoid cysts of the scrotal wall
5. Pseudotumor of the Scrotum
6. Scrotal wall malignant lesions
iii. Extratesticular lesions
1. Scrotal hernia
2. Hydrocele
3. Hematocele/Pyocele
4. Tumors of the Spermatic Cord
5. Epididymal Lesions
6. Benign Epididymal Lesions
a. Epididymo-orchitis
b. Sperm granuloma
c. Epididymal cyst
d. Spermatocele
e. Appendix epididymis
f. Adenomatoid tumor
g. Papillary cystadenoma
h. Leiomyoma
7. Malignant Epididymal Lesions
a. Sarcoma of the epididymis
b. Clear Cell carcinoma of the Epididymis
i. Testicular Lesions
i. Benign Lesions of the Testis
1. Testicular Torsion
2. Primary orchitis
3. Testicular abscess
4. Nonpalpable testis
5. Testicular Microcalcification
6. Testicular Macrocalcification
7. Cystic lesions
a. Testicular cysts
b. Cysts of the tunica albuginea
c. Epidermoid cysts
d. Tubular ectasia of rete testis (TERT)
8. Intratesticular varicocele
9. Intratesticular abscess
10. Intratesticular hematoma
11. Congenital testicular adrenal rests
12. Sarcoidosis
ii. Malignant Lesions of the Testis
1. Germ cell tumors
2. Seminoma
3. Non-seminomatous germ cell tumors (NSGCT)
4. Testicular Lymphoma
5. Incidentally discovered non-palpable testicular lesions
iii. Special Indications
1. Male Infertility
2. Varicocele
3. Impaired semen quality and azoospermia
4. Antisperm antibodies
5. Testicular atrophy
6. Testicular trauma

3. PENILE ULTRASOUND
a. Normal Ultrasound Anatomy of the Phallus
b. Orientation, Scanning protocol and Technique
c. Transducer selection
d. Survey scan
e. Color and Spectral Doppler
f. Documentation and templates
g. Indications
h. Vascular Pathology
i. Metabolic syndrome and vascular dysfunction
ii. Erectile Dysfunction (ED)
iii. Priapism
1. High-flow (arterial)
2. Low-flow (ischemic)
iv. Penile Trauma/Fracture
v. Dorsal Vein Thrombosis
i. Structural Pathology:
i. Penile Fibrosis/Peyronie’s Disease
ii. Plaque assessment (number, location, echogenicity and size)
1. Perfusion abnormalities
2. Perfusion surrounding plaques
iii. Penile Mass
1. Primary penile tumors
2. Metastatic lesions to the penis
3. Penile Foreign Body (size, location, echogenicity)
j. Penile Urethral Disease
i. Urethral stricture (location, size)
1. Perfusion surrounding plaques
ii. Calculus/Foreign Body
Urethral diverticulum/cyst/abscess

AUTHORS & EDITORS

Bruce R. Gilbert, MD, PhD
North Shore LIJ Health System, Smith Institute For Urology, New Hyde Park, NY, USA