Subject: Radiology
Topic: Male Pelvis, Uroradiology
Lecturer: Dra. Irene Bandong
Shifting /Date: 2nd Shifting/ August__, 2008
Trans group: Den, Bart, Kyth, Karla, Josh

6-7cm in length; 7-8mm diameter at the globus
major (head of the epididymis at the
mediastinum testes); 1-2 cm at the tail where it
continues as the vas deferens

Vas deferens\ue000 courses through the spermatic
cord and exits via the deep inguinal ring. It joins
the seminal vesicle at the base of the prostate,
forming the ejaculatory duct

Presenting symptoms include: decreased force of
urine stream, dribbling, and incomplete
emptying of the bladder, due to uninhibited
contractions of a hypertrophied detrusor due to
obstruction of the prostatic urethra by
enlargement of glandular tissue of the prostate

Normal increased signal intensity on T2-
weighted images and either low or high intensity
on T1 with hypertrophic changes in the
transitional zone

More common than any other cancer in
American men except for non-melanoma skin
cancer

May produce symptoms like, urinary urgency,
nocturia, frequency and hesitancy\u2014all of which
are more likely to be caused by benign prostatic
hypertrophy

Spread may occur by direct extension into the seminal vesicles, bladder base, and perivesical fat

If nodal disease is present, 80% of
patients will have bone metastases
within 5years

Prostate specific imaging of distant
disease can also be evaluated with
nuclear medicine: \u201cprostascint\u201d scan

MARY YVETTE ALLAIN TINA RALPH SHERYL BART HEINRICH PIPOY KC JAM CECILLE DENESSE VINCE HOOPS CES XTIAN LAINEY RIZ KIX EZRA GOLDIE BUFF MONA AM MAAN ADI KC
PENG KARLA ALPHE AARON KYTH ANNE EISA KRING CANDY ISAY MARCO JOSHUA FARS RAIN JASSIE MIKA SHAR ERIKA MACKY VIKI JOAN PREI KATE BAM AMS HANNAH MEMAY PAU
RACHE ESTHER JOEL GLENN TONI

Due to abnormal configuration of the testicle on
its pedicle (Bell Clapper Deformity), leading top
abnormal twisting of the spermatic cord that
causes testicular ischemia

Adult males: 80% testicular salvage rate when reversed within 5 hours

Diagnosis is made if there is no blood flow to the
testis (evaluated by Doppler) after 1 minute
scanning time or,

If there is a single small vessel in the
symptomatic testis when contralateral normal
testis shows readily detectable diffuse flow

Other frequent causes include echovirus, group
B arboviruses, and lymphocytic choriomeningitis
virus

Presents with pain, nausea, vomiting and
extreme tenderness with scrotal ecchymosis and
swelling

Surgical exploration and debridement needed if
tunica albuginea has been violated and
devitalized seminiferous tubules have extruded
or if there is a large scrotal hematoma

germ cell tumors comprise 95% of testicular
cancer, 40% of these are seminomas, and 40%
with mixed histologic pattern.

demonstrates areas of uniformly decreased
echogenicity, usually focal but may be diffuse
and may cause bulging of the tunica albuginea

URORADIOLOGY
CONGENITAL ABNORMALITIES
Ureterocele

Ectopic ureterocele enter the bladder, typically
arise from the upper pole moiety of a duplicated
collecting system

When the ureteric bud fails to reach the
metanephric blastema, there is no induction of
nephron development

occurs as a result of inadequate induction of
maturation of the metanephric blastema by the
ureteric bud

non-communicating cysts
replace normal renal
parenchyma.

Representing a severe, in utero
form of uteropelvic junction (UPJ)
obstruction

Both forms present with an abdominal mass
detected during infancy and are associated with
contralateral UPJ obstruction

UPJ obstruction with associated hydronephrosis
is the most common palpable abdominal mass in
newborns