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Practical recommendations for performing ultrasound scanning in the urological and andrological fields

Pasquale Martino, Andrea Benedetto Galosi, Marco Bitelli, Paolo Consonni, Fulvio Fiorini, Antonio Granata, Roberta Gunelli, Giovanni Liguori, Silvano Palazzo, Nicola Pavan, Vincenzo Scattoni, Guido Virgili, SIU and SIEUN
  • Pasquale Martino
    Department of Emergency and Organ Transplantation-Urology I, University “Aldo Moro”, Bari, Italy | pasqualeluciomartino@libero.it
  • Andrea Benedetto Galosi
    Division of Urology, “Murri” General Hospital, ASUR Marche, Fermo, Italy
  • Marco Bitelli
    Department of Urology - Andrology Unit, Ospedale San Sebastiano Martire, Frascati, Italy
  • Paolo Consonni
    U.O. Urologia - Casa di Cura “S. Maria”, Castellanza, Italy
  • Fulvio Fiorini
    Nefrologia SOC - Azienda Sanitaria ULSS 18 Rovigo, Rovigo, Italy
  • Antonio Granata
    U.O. Nefrologia e Dialisi - ASP Agrigento, Agrigento, Italy
  • Roberta Gunelli
    U.O. Urologia Ospedale G.B. Morgagni-L. Pierantoni - Azienda USL di Forlì, Forlì, Italy
  • Giovanni Liguori
    Department of Urology, University of Trieste, Ospedale di Cattinara, Trieste, Italy
  • Silvano Palazzo
    Department of Emergency and Organ Transplantation-Urology I, University “Aldo Moro”, Bari, Italy
  • Nicola Pavan
    Department of Urology, University of Trieste, Ospedale di Cattinara, Trieste, Italy
  • Vincenzo Scattoni
    Department of Urology, University Vita-Salute, Scientific Institute San Raffaele, Milan, Italy
  • Guido Virgili
    Department of Urology, University of Tor Vergata, Rome, Italy
  • SIU and SIEUN
    Imaging Working Group - Società Italiana Urologia (SIU), Rome; Società Italiana Ecografia Urologica Andrologica Nefrologica (SIEUN), Bari, Italy

Abstract

Aim: US scanning has been defined as the urologist’s stethoscope. These recommendations have been drawn up with the aim of ensuring minimum standards of excellence for ultrasound imaging in urological and andrological practice. A series of essential recommendations are made, to be followed during ultrasound investigations in kidney, prostate, bladder, scrotal and penile diseases. Methods: Members of the Imaging Working Group of the Italian Society of Urology (SIU) in collaboration with the Italian Society of Ultrasound in Urology, Andrology and Nephrology (SIEUN) identified expert Urologists, Andrologists, Nephrologists and Radiologists. The recommendations are based on review of the literature, previously published recommendations, books and the opinions of the experts. The final document was reviewed by national experts, including members of the Italian Society of Radiology. Results: Recommendations are listed in 5 chapters, focused on: kidney, bladder, prostate and seminal vesicles, scrotum and testis, penis, including penile echo-doppler. In each chapter clear definitions are made of: indications, technological standards of the devices, the method of performance of the investigation. The findings to be reported are described and discussed, and examples of final reports for each organ are included. In the tables, the ultrasound features of the principal male uro-genital diseases are summarized. Diagnostic accuracy and second level investigations are considered. Conclusions: Ultrasound is an integral part of the diagnosis and follow-up of diseases of the urinary system and male genitals in patients of all ages, in both the hospital and outpatient setting. These recommendations are dedicated to enhancing communication and evidence-based medicine in an inter- and multi-disciplinary approach. The ability to perform and interpret ultrasound imaging correctly has become an integral part of clinical practice in uro-andrology, but intra and inter-observer variability is a well known limitation. These recommendations will help to improve reliability and reproducibility in uro-andrological ultrasound scanning.

Keywords

Recommendation; Ultrasound scanning; Kidney; Bladder; Prostate; Scrotum; Penis

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Submitted: 2014-03-28 11:26:32
Published: 2014-03-28 00:00:00
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Copyright (c) 2014 Pasquale Martino, Andrea Benedetto Galosi, Marco Bitelli, Paolo Consonni, Fulvio Fiorini, Antonio Granata, Roberta Gunelli, Giovanni Liguori, Silvano Palazzo, Nicola Pavan, Vincenzo Scattoni, Guido Virgili, SIU and SIEUN

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