By Aaron T. Beck
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Prostate size is measured including height, width, and depth. A 12-core systematic biopsy is performed that follows the traditional sextant biopsy, with lateral cores at the base, midgland, and apex from each side. Because the medial cores typically contain transitional zone tissue, the authors do not take additional individual midline samples. postpone the biopsy because the possible infections, if developed, could lead to full-blown sepsis. Summary Prostate cancer is the most prevalent newly diagnosed noncutaneous malignancy in men.
24 mL . Transabdominal ultrasound can help assess prostate size, intravesical filling defects, bladder diverticula, and thickness of the bladder wall . 5-MHz transducer. Early degrees of BPH increase the anteroposterior dimension of the prostate due to transitional zone enlargement. The peripheral zones are normal in the early stages of BPH; however, as the prostate gland gets larger, the peripheral zones are compressed by the transitional zone and become more echogenic. The bladder base elevates and eventually, if the prostate gets large enough, the transrectal probe will not be able to be inserted deep enough to image the base of the prostate .
J Urol 1993; 150:100–5.  Catalona WJ, Partin AW, Slawin KM, et al. Use of the percentage of free prostate-specific antigen to enhance differentiation of prostate cancer from benign prostatic disease: a prospective multicenter clinical trial. JAMA 1998;279:1542–7.  Catalona WJ, Bartsch G, Rittenhouse HG, et al. Serum pro-PSA preferentially detects aggressive prostate cancers in men with 2 to 4 ng/ml PSA. J Urol 2004;171:2239–44.  Herget E, Saliken J, Donnelly B, et al. Transrectal ultrasound guided biopsy of the prostate: relation between ASA use and bleeding complications.