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Prostate Vascular Flow

The Effect of Ejaculation as Revealed on Transrectal Power Doppler Sonography

Thomas S. Keener1, Thomas C. Winter1,2, Richard Berger3, John N. Krieger3, Cynthia Nodell1,4, Ivan Rothman3 and Hanh V. Nghiem1,5

1 Department of Radiology, University of Washington Medical Center, Box 357115, 1959 N.E. Pacific St., Seattle, WA 98195.
2 Present address: Department of Radiology, University of Wisconsin Hospital, E3/311 CSC, Box 3252, Highland Ave., Madison, WI 53792.
3 Department of Urology, University of Washington Medical Center, Box 356510, Seattle, WA 98195.
4 Present address: Group Health Cooperative, 2700 152nd Ave., N.E., Redmond, WA 98052.
5 Present address: Department of Radiology, The University of Michigan, 1500 E. Medical Center Dr., B1D530A, Ann Arbor, MI 48109-0030.



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Fig. 1A. —Prostate vascular flow in healthy 35-year-old man as revealed on transrectal power Doppler sonography. Flow was ranked before ejaculation as least flow by all three observers.

 


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Fig. 1B. —Prostate vascular flow in healthy 35-year-old man as revealed on transrectal power Doppler sonography. Flow immediately after ejaculation was ranked second most flow by all three observers.

 


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Fig. 1C. —Prostate vascular flow in healthy 35-year-old man as revealed on transrectal power Doppler sonography. Six hours after ejaculation, flow was ranked most flow by all three observers.

 


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Fig. 1D. —Prostate vascular flow in healthy 35-year-old man as revealed on transrectal power Doppler sonography. Twenty-four hours after ejaculation, flow was ranked third most flow by all three observers.

 


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Fig. 2. —Bar chart shows results of ranking analysis: 97% (29/30) of baseline examinations were scored by the three observers as having least vascular flow (4 = least flow) among the four studies that each volunteer underwent. However, no clear pattern emerged regarding the three other examinations. Note relatively equal pattern of distribution between rankings (1 = most flow, 4 = least flow) and time of the examination (Immediate, 6 Hr, and 24 Hr = immediately, 6 hr, and 24 hr after ejaculation).

 

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