ACR appropriateness criteria on obstructive voiding symptoms secondary to prostate disease.
Obstructive voiding symptoms are most commonly due to prostatic hyperplasia, but other causes include bladder neck contractures, prostatic carcinomas, neurogenic bladder, and urethral stricture. Symptoms include hesitancy, dribbling, decreased force of stream, and postvoid fullness. Imaging is useful in evaluating the presence and degree of hydronephrosis, estimation of renal function, evaluation of the bladder and prostate, and detection of incidental upper tract malignancies or stones. Various modalities have been used for evaluation of the cause of obstruction. Literature on the indications and usefulness of these radiologic studies for obstructive voiding symptoms in different clinical settings is reviewed.
Dighe
Manjiri
M
Department of Radiology, University of Washington Medical Center, Seattle, Washington 98195, USA. dighe@u.washington.edu
Francis
Isaac R
IR
Casalino
David D
DD
Arellano
Ronald S
RS
Baumgarten
Deborah A
DA
Curry
Nancy S
NS
Fulgham
Pat
P
Israel
Gary M
GM
Leyendecker
John R
JR
Papanicolaou
Nicholas
N
Prasad
Srinivasa
S
Ramchandani
Parvati
P
Remer
Erick M
EM
Sheth
Sheila
S
D004502:Education, Medical, Continuing; D006801:Humans; D008297:Male; D011469:Prostatic Diseases / Q000150:complications / Q000000981:diagnostic imaging; D011859:Radiography; D011871:Radiology / Q000592:standards; D014481:United States; D014555:Urination Disorders / Q000000981:diagnostic imaging / Q000209:etiology*