E2059. Infectious and Inflammatory Conditions of the Lower Male Genitourinary System
Authors
Puja Shahrouki;
University of California Los Angeles
Ely Felker;
University of California Los Angeles
Jena Depetris;
University of California Los Angeles
Maitraya Patel;
University of California Los Angeles
Background
Infectious and inflammatory conditions of the lower male genitourinary system are common, with urinary tract infections (UTIs) and sexually transmitted diseases (STDs) accounting for the majority of symptomatic disease. Given recent advances in imaging and increased clinical recognition, the complications of UTIs and STDs and other rare, or underrecognized, inflammatory conditions are being increasingly appreciated. Imaging can identify these conditions early and lead to appropriate treatment. In addition, imaging can also facilitate tissue diagnosis and image-guided interventions. This exhibit will provide a multimodality imaging review of various complications and less recognized infectious and inflammatory conditions of the lower male genitourinary system.
Educational Goals / Teaching Points
By the end of the presentation the viewer will be able to describe the role of imaging (ultrasound, CT, MR, fluoroscopy) in the diagnosis of infectious and inflammatory conditions of the lower male genitourinary system. Explain the role of imaging in guiding treatment of infectious and inflammatory conditions of the male genitourinary system. Emphasis is placed on complications and less recognized diagnoses.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
The cases presented in this exhibit include prostatic abscess, emphysematous cystitis, scrotal-penile abscess complicated by a urethral fistula, isolated vasitis, vasitis in the setting of epididymo-orchitis, penile inflammation secondary to cosmetic injections (paraffinoma or sclerosing lipogranuloma of the penis), granulomatous prostatitis, and urethral stricture.
Conclusion
With the increased utilization of cross-sectional imaging, infectious and inflammatory conditions of the lower male genitourinary system which may previously have gone undetected and untreated, may now be visualized and allow for appropriate diagnosis. The radiologist can facilitate both early treatment when necessary and also help reduce unnecessary treatment for benign conditions which may be treated conservatively.
