CT scan of the pelvic organs in men
After visiting the doctor (therapist, urologist, andrologist) it is often necessary to confirm or refute the presence of diseases of the male pelvis. There are several methods of inspection of organs of small pelvis for men, one of them is computed tomography.
What is this method of diagnosis?
CT scanner — apparatus, which by means of x-rays takes pictures of cross sections of the body, and then sends them to a computer, which processes them and makes higher quality for inspection and diagnosis by a physician. There are two methods of the CT without contrast and CT with contrast. Contrast known substances the introduction of which is possible to see the bodies, to see more details. Usually use medications containing iodine.
There are a number of indications for CT of the pelvic organs. It is made for confirmation of already delivered of disease or to clarify the location of the pathological process in the small pelvis.
Done in such diseases:
- Traumatic injuries of the pelvis in men.
- Inflammatory diseases of pelvic organs in men (prostate — prostatitis, bladder — cystitis, urinary ducts — urethritis, seminal bubbles — vesicles and ejaculatory ducts, rectum).
- Kitoobraznye and abscess formation in this region.
- Neoplastic processes (non — malignant and malignant formations).
- Metastasis from various organs.
- Preoperative control.
- Congenital anomalies of the pelvic area.
- The bladder stones.
- Diverticulitis of the rectum.
The most common disease of the male organs of a small pelvis is prostatitis. Prostatitis – an inflammatory disease of the prostate gland. It is divided into:
- Acute and chronic.
- Bacterial and non-bacterial.
The main symptoms of this disease are: pain in the scrotum and perineum, problems with urination, deterioration in sexual life, changes in the seminal fluid and difficulty ejaculating. There are many reasons: infection, poor blood supply in this region, the deficit of useful elements, stress, frequent hypothermia. If time does not diagnose and does not begin treatment, prostatitis can be supplemented complications, hardening of the prostate, kitoobraznye, the development of adenomas, stone formation in the prostate, impotence and even infertility.
What peculiarities of preparation and conduct of the study?
The preparation for CT of the pelvis is very simple. First, you need to eliminate the meals at least 4 hours before the study. Second, before the procedure is necessary to remove from the body all metal objects and jewelry (chains, rings, watch) because they distort the resulting picture in the picture and may hinder the correct diagnosis. In office CT listen carefully to the doctor — he will tell you what will happen during this study, how it works, what are the nuances you need to follow in this type of tomography is to obtain the most informative picture.
The CT scan itself takes a little time: 20-30 minutes without contrasting 30-50 minutes with contrast. The patient lies down, to move during the study is strictly prohibited, if necessary, the examinee is fixed by special fasteners and, if necessary, contrast medium injected. Further, the moving part of the device scans the specific region (pelvic men), it publishes the sounds similar to the clicking (normal operation of the imager). Once the research data is sent to the computer where they can watch surveyed a doctor and get a preliminary opinion (not a diagnosis).
There are contraindications to CT of the pelvic organs: Allergy to iodine and iodine-containing products (seafood, iodized salt), as the contrast contains this item and may provoke an allergic reaction. You can also add to the list fear of closed spaces (claustrophobia), renal failure, severe General condition of the patient, weight of patient (MRI, depending on the model withstands a certain weight, usually up to 120-130 kg, the limits need to know when writing).
What are the pros and cons of this research?
CT is very convenient, only takes a small amount of time. Minimal training, a small number of contraindications and low radiation exposure makes this study very comfortable for the patient. When using a CT scan creates a three-dimensional model of a given area, in which you can see all the pathology and anomalies related to the pelvis. This procedure is very useful for preoperative diagnosis, as it gives to understand all the anatomical and physiological characteristics of the patient, which in turn facilitates the progress of the operation. Prescribe CT doctors such as urologists, andrologists, surgeons, oncologists and therapists.
Of the minuses can highlight what research is not cheap, has a radiation exposure, albeit small, but because of the precautions it is impossible to spend more than three times a month. If the patient has a high body weight (over 130 kg), he can get to the weight limit, which he will either have to choose a clinic with a different machine that will be able to withstand, or to use alternative methods of research.
Of alternative methods of diagnostics of diseases of organs of small pelvis are:
- Ultrasonography (us).
- Magnetic resonance imaging (MRI).
- Roentgenography of organs of a small pelvis.