Why do prostate trusions

Ultrasound and transsonography of the prostate: all about preparing for the study of the prostate gland in men

Diagnosis of prostate diseases is not complete without ultrasound. But many are interested in the question: "How to prepare for an ultrasound of the prostate gland in men?"

In the article we will talk about prostate ultrasound and preparation for the study.

What is research?

Prostate ultrasound is a method of monitoring pathological changes using a special probe that emits ultrasonic waves. Ultrasound is reflected in different ways from tissues of different density and structure, this information is processed by the device and turns into a kind of photograph of the organ, which is displayed on the screen.

Based on the changes visible there, a diagnosis is made, if necessary, additional methods of examining the patient are prescribed.

There are two types of Prostate ultrasound:

Transabdominal ultrasound of the prostate is performed through the anterior abdominal wall. This method does not cause discomfort to the patient at all, but doctors try to avoid it, since the information content of this type of study is much lower compared to transrectal. Here, the doctor can only assess the general condition of the organ, its size, weight and volume.

To make a more accurate diagnosis, it is recommended to do a transrectal examination of the prostate - TRUS, which is carried out by inserting a probe into the rectum.

During the procedure, the patient may experience moral or slight physical inconvenience.

But on the other hand, in a medical opinion, the condition of the gland will be described as detailed and accurate as possible.

In addition, in addition to the prostate, a specialist will be able to examine the urethra, seminal vesicles and surrounding tissues of the rectum, which is important in the diagnosis of oncological pathology and infertility.

Ultrasound and TRUS of the prostate are prescribed when the patient presents specific complaints:

• weak or painful urination;
• urinary retention;
• erectile dysfunction;
• unsuccessful attempts to conceive in the absence of pathology on the female side.

Ultrasound examination can detect the following diseases of the prostate:

• cyst (the image shows small cavities filled with fluid);
• prostatitis (indicated by an increase in the size of the gland caused by inflammatory edema);
• adenoma;
• prostate cancer.

In the last two cases, the study shows enlargement of the prostate and changes in the structure of its tissues. Rough edges, the presence of suspicious areas - these signs tilt the diagnosis towards a malignant neoplasm, but others are usually required to clarify it - studies - puncture biopsy, computed tomography, etc.

How is it carried out?

Transabdominal ultrasound begins with the fact that the patient is asked to lie on his back and expose the lower abdomen. Next, the health worker applies a special gel to the sensor that improves the passage of ultrasonic waves (the substance is absolutely harmless to human skin), and presses the device in various projections against the anterior abdominal wall, watching the picture on the monitor.

On average, the study lasts from 5 to 7 minutes, after which the doctor describes the images obtained and issues his opinion.

When conducting a TRUS, the sensor, as mentioned above, is inserted into the rectum to a depth of 5-7 cm (if it is also necessary to examine the seminal vesicles, then 7-9 cm).

To prevent infectious complications, a condom is put on him.

While the doctor visually assesses the state of the organ, the patient lies on his left side with his knees brought to his chest. The duration of the study is 10-15 minutes.

Transrectal ultrasound is contraindicated for intestinal obstruction, chronic anal fissures, acute stage of hemorrhoids, after operations on the rectum.

Let's consider the preparation for ultrasound of the prostate in men.

Transabdominal ultrasound

In order for the doctor to see the clearest possible image during the examination, the patient must properly prepare for the procedure. How to prepare for a prostate ultrasound?

Preparing for an ultrasound of the prostate is not difficult. Before a transabdominal examination, a man needs to drink about a liter of water in order to straighten the walls of the bladder, and not urinate until the end of the examination.

Due to the rate of water absorption and renal filtration, fluid intake should be started at least one hour before the scheduled examination time.

TRUS of the prostate: how to do it, preparation

Preparation for prostate ultrasound is somewhat more complicated. How to prepare for a TRUS of the prostate? First of all, the patient needs to cleanse the intestines. This can be done in different ways:

Cleansing enema.An enema before ultrasound of the prostate is carried out using an Esmarch mug, a rubber hose with a tip and water at room temperature in an amount of 1-1.5 liters.

Most often this method is used in stationary conditions. Microclysters ("Mikrolaks", "Norgalaks") - are a small tube filled with a fast-acting laxative. The contents of the tube are injected into the rectum, when the urge to defecate occurs, the patient goes to the toilet. Glycerin suppositories - are used similarly to microclysters. Reception of "Fortrans" - a special preparation for cleansing the intestines before medical and diagnostic manipulations. The disadvantage of the remedy is its relatively high price, in addition, it is better to discuss its use with your doctor. How do I prepare for a TRUS of the prostate? Preparing for a trans prostate ultrasound at home includes the observance of the so-called slag-free diet - a special medical table that reduces the formation of gases and feces.

If it is observed, the following products are excluded from the diet:

• legumes, fresh vegetables and herbs;
• smoked meats, pickles;
• millet and barley porridge;
• grapes, gooseberries, peaches, raspberries, apricots;
• coffee, chocolate, nuts;
• milk, soda, kvass

Also, before performing a TRUS, the patient must fill the bladder (how to do this is described in detail in the rules for preparing for transabdominal ultrasound).

And you can find out about harmful and beneficial products for the male organ here.

Conclusion

Now you know everything about TRUS and ultrasound of the prostate, preparation for research. Ultrasound is considered one of the safest and, at the same time, informative diagnostic methods, so you should not refuse it.

A timely procedure allows you to detect prostate disease at an early stage, when the prognosis is more favorable, and prescribe an effective treatment for the patient.

Useful video

Watch a video about ultrasound of the prostate, preparation for it:

Trusting of the prostate gland how is it done? Necessary preparation and description of the procedure

Surely every person has encountered ultrasound diagnostics at least once in their life. Women often have to visit specialists for examination of the pelvic organs. Males may need an ultrasound of the same area. It is worth noting that the doctor can conduct an examination in two ways: through the abdominal wall or by using the anus. This article will focus on the second method. You will learn all about the study called "TRUS of the prostate": preparation, how to do it, cost. The reader will also have the opportunity to study the inspection process in detail.

TRUS of the prostate

How to do this procedure will be described below. To begin with, it is worth saying what kind of manipulation it is. With the help of Transrectal ultrasound, the area of the prostate and seminiferous tubules is examined. This procedure makes it possible to accurately determine the size of the gland and examine its appendages.

In the presence of pathological formations, this method allows you to measure the detected areas as accurately as possible and find out their nature.

To whom the procedure is assigned

Of course, only males can undergo this examination. That being said, there are several reasons to look. The most common reasons for such appointments are the following:

• erectile dysfunction or early ejaculation;
• prolonged infertility of unknown origin;
• pain in testicles and penis;
• poor spermogram result;
• Men's age is over 45.

Also, the examination can be carried out on a voluntary basis. However, very rarely males decide to undergo such a diagnosis.

Price category

There are two methods of this examination. You can get a referral from a government agency. In this case, the procedure will be absolutely free for you (subject to certain documents). However, sometimes there is a queue for such an ultrasound diagnosis. In this case, you will have to wait for the specified time or choose an alternative method of examination.

You can also have an examination at a paid clinic. It should be noted that most patients choose this method. In this case, the TRUS of the prostate gland (description of the procedure) will be explained to you in detail by the specialists of the chosen clinic. You will be told how to prepare for the manipulation, and its cost will be announced. It all depends on the qualifications of the ultrasound specialist, the model of the device and the region where you live.

How is a TRUS of the prostate performed?

The procedure lasts no more than 20 minutes.A qualified specialist with the latest equipment will only need five minutes for an examination. So, TRUS of the prostate, how is this examination done?

It is strictly forbidden to keep the turned on device in your pants pocket. This circumstance can greatly interfere with the diagnosis and give false results of the study.

The patient should lower the clothes in the lower part of the body (trousers and underpants). After that, the man is asked to lie on his left side and pull his legs up to the abdomen. This position is the best for prostate TRUS. How is it made, how is the sensor inserted?

First, the doctor must put a protective film on the long ultrasound probe. Most often, a special condom is used for this. After that, a gel is applied, which allows you to get a more accurate picture and facilitate the introduction of the device. The ultrasound transducer is inserted very slowly and as comfortable as possible for the patient. The penetration depth is about five centimeters. It is in this area that the prostate gland of a man is located.

So, you now know how a TRUS of the prostate gland is done. However, before the procedure, mandatory preparation is necessary.

The result of the diagnosis can be obtained within a few minutes after the examination. Usually the doctor issues a form (ultrasound protocol) with a conclusion and recommendations. If necessary, several images of the examined organ are attached to the result. They will help the doctor make a more accurate diagnosis and prescribe the right treatment. Remember that the result of a TRUS of the prostate is never a definitive diagnosis. A specialist in ultrasound diagnostics can only assume the presence of a particular pathology. The final diagnosis is made by an andrologist.

Preparatory process

How to do TRUS and ultrasound of the prostate (required preparation), you should be told by the doctor who prescribes this procedure. In the event that you go to a private clinic, you will be given a special form that contains a description of the procedure and methods of preparing for it. There are a few very important points to consider. Let's try to understand them in detail.

Testing

Each man before this procedure must pass a series of tests. In some cases, it is on the basis of the results that this diagnosis is assigned. A mandatory study before such manipulations is a complete blood count. You also need to determine the absence of diseases such as hepatitis, syphilis, AIDS and HIV. It is they who can be transmitted through contact through the anus.

Sometimes a doctor may recommend a semen test. In this case, the result of the analysis may be the reason for the appointment of this ultrasound diagnostics.

Intestinal status

Before doing a TRUS of the prostate gland (a description of the procedure is presented above), a cleansing enema is required. An alternative to this method may be taking laxative tablets a few days before the manipulation.

Enema should be done no later than two hours before the procedure. Otherwise, you may end up in a very awkward situation.

Bladder condition

If you are prescribed a prostate ultrasound scan, you need to find out in advance how the diagnosis is made. You must come to the examination with a full bladder. To do this, you need to drink several glasses of water before the procedure. This must be done no later than half an hour before the manipulation.

Thanks to a full bladder, the seminal ducts straighten out, the doctor can examine this area as much as possible without causing you discomfort.

Compliance with a certain diet

A few days before the diagnosis, you need to review your diet. It is worth giving up gas-forming dishes and products: legumes, sweets, pastries and sugar-containing drinks. Try to drink more pure water and refrain from drinking milk and alcoholic beverages.

Personal care

So, you already know how to do prostate ultrasound. Be sure to wash the anus area well before the procedure. Especially if you have recently had a bowel movement. Use regular baby soap for this procedure.

Small summary

If you are scheduled for a prostate examination, do not be afraid of this manipulation. When conducting an examination in a paid clinic, you can choose an alternative method of diagnosis. In this case, the doctor will examine the organ of interest through the abdominal wall. However, be prepared for the fact that the result may not be as accurate as with a transrectal examination.

Diagnose the internal reproductive organs. In this case, your health will always be under the control of experienced professionals.

TRUS of the prostate: indications, preparation and procedure

In the diagnosis of diseases of the prostate TRUS of the prostate plays an important role. Unlike conventional ultrasound, the transrectal method allows you to assess changes in the prostate gland and make a preliminary diagnosis.

What is TRUS?

Ultrasound examination of the prostate gland through the abdominal region is uninformative and does not allow to fully assess the degree of disruption of the organ. Unlike conventional ultrasound, TRUS, or transrectal ultrasound, allows you to get a complete picture of changes in the organ.

The study is carried out through the anus. The doctor inserts the sensor into the patient's rectum, and on the screen he sees an accurate picture obtained by reflecting an ultrasonic wave from the walls of the organ.

TRUS reveals:

• prostatitis;
• prostate adenoma;
• malignant neoplasms in the prostate;
• organ fibrosis;
• calculi in the gland.

TRUS examination of the prostate is included in the list of diagnostic methods recommended to confirm prostatitis and prostate adenoma. The examination is indicated for all men over 40 years old for the timely detection of prostate pathologies.

Transrectal ultrasound is more informative than transabdominal

Indications for TRUS

Along with rectal palpation of the prostate, a TRUS examination is prescribed at the first visit to a urologist with complaints of pelvic pain and urination disorders.

Indications for examination:

• age over 50;
• pelvic pain;
• impaired urination;
• pain during ejaculation;
• a feeling of heaviness in the rectum;
• incomplete emptying of the bladder;
• weakening of erection.

TRUS of the prostate gland allows you to confirm or refute the inflammatory process by the nature of the reflection of ultrasonic waves from the tissues of the organ. Also, transrectal ultrasound examination allows you to get a picture not only of the prostate, but also of the organs surrounding it.

TRUS is prescribed in cases where an elevated or high level of prostate-specific hormone is detected in the blood serum. This examination is prescribed to detect adenoma and prostate cancer.

Such a study is prescribed for suspected prostate disease, as well as during a preventive examination

With prostatitis, TRUS allows you to clarify the type of inflammatory process by the nature of the change in the contours of the prostate gland.

Concretions and areas of fibrosis create areas of increased echogenicity in the prostate gland, which can be detected during TRUS. Nevertheless, it is important to consider that the presence of large stones in the prostate is a contraindication to such an examination.

If surgical intervention is necessary, for example, with prostate adenoma, TRUS is prescribed to determine the degree of organ enlargement, which will make it possible to draw up a plan for the operation.

Also, the method is quite informative in the diagnosis of infertility, making it possible to eliminate the physiological causes of reduced fertility associated with anomalies in the development of the prostate gland. TRUS is prescribed as an additional diagnostic method for vesiculitis and inflammation of the scrotum. The doctor may prescribe such an examination for an abscess of the prostate gland on the eve of surgery. In this case, TRUS shows the exact location of the abscess, allowing you to plan the operation.

The examination is painless and does not last long. If it is necessary to conduct a TRUS of the prostate, the price of which does not bite, possible contraindications should be taken into account.

Contraindications for examination

Having learned why prostate TRUS is needed and what it is, you should familiarize yourself with the contraindications. Among them:

• rectal surgery;
• exacerbation of hemorrhoids;
• intestinal obstruction;
• anal fissures.

TRUS is not performed if the patient had part of the rectum removed during cancer treatment.

In case of exacerbation of hemorrhoids, the introduction of a sensor into the rectum can provoke a deterioration in well-being and the development of inflammation of the hemorrhoids. Therefore, TRUS should be postponed until symptoms subside.

It is not possible to make TRUS in case of intestinal obstruction. The study is either transferred or replaced by an abdominal method, during which the sensor is placed on the area near the bladder.

Anal fissures are a direct contraindication for transrectal ultrasound examination. This is due to the fact that the sensor can damage the crack, which will lead to the development of inflammation of the rectal mucosa.

In all these cases, prostate massage is also prohibited to determine the structure and size of the organ.In this case, transabdominal ultrasound or MRI can be used as a diagnostic method of examination.

Diseases or injuries of the rectum are contraindications for TRUS

How to prepare?

Preparation for TRUS of the prostate consists in preliminary cleaning of the intestines. A cleansing enema is necessary for the normal insertion of the probe and the absence of distortion during the examination.

TRUS is done on a full bladder. An hour before the scheduled examination, the patient should start drinking water in small sips. In total, it is recommended to drink about a liter of water, but not in one gulp, but little by little, so that the bladder has time to fill before the sensor is inserted.

Preparing for a prostate exam includes avoiding gas-producing foods the day before a TRUS. These foods include legumes, cabbage, pastries, sodas, and any fruits and vegetables. Before going to bed, it is recommended to limit yourself to a light dinner from dietary products. If the examination is scheduled for the morning, breakfast should be discarded, replacing it with clean water or weak tea.

At home, you should make an enema with a volume of one and a half liters of plain water. You can also use glycerin suppositories to facilitate bowel cleansing, as this will not affect the results of the examination.

For more information on how to prepare for TRUS of the prostate, the doctor who referred the patient for examination will additionally tell.

Conducting a survey

Men who are prone to stress and neuroses should consult a doctor about the possibility of taking a sedative that would allow them to escape from the experience during the examination.

For comfortable insertion of the sensor, the man should lie on his side, pulling his knees to his chest. In the absence of psychological discomfort, there will be no pain, since the sensor itself is thin.

The whole procedure takes about 20-30 minutes. At this time, the doctor monitors the picture displayed on the monitor and simultaneously makes notes, which are then given to the patient to be provided to the attending physician.

Before performing TRUS, make sure that the bladder is full

Procedure results

The attending physician deals with the interpretation of the obtained results of TRUS of the prostate gland, however, the patient himself can decipher these data.

The prostate capsule is clearly visible on TRUS. The continuity of its contours indicates the normal functioning of the organ, but if the integrity of the capsule is violated, cancer or adenoma can be diagnosed. In most cases, it is the cancerous tumor that extends beyond the organ.

An important role in the diagnosis is played by the symmetry of the prostate. A change in its size on only one side may indicate inflammation or an abscess.

Concretions or areas of fibrosis appear quite clearly on TRUS as areas of increased echogenicity. Heterogeneity of the prostate tissue indicates prostatitis. At the same time, with bacterial prostatitis, the contours remain smooth, and with congestive inflammation, a change in the contours and a violation of the symmetry of the prostate is possible.

In most cases, TRUS of the prostate is a preliminary examination. With such an examination, it is impossible to accurately see chronic prostatitis, however, areas of increased or decreased echogenicity should alert the doctor and refer the patient for additional examinations.

TRUS allows you to determine edema, adenoma and oncology of the prostate, but to confirm each of these diagnoses, you must pass a PSA test. With a significant increase in this antigen in the blood, one can talk about cancer, while a moderate increase in PSA to 10 indicates an adenoma or prostatitis.

To confirm prostatitis and determine its nature, an additional analysis of prostate secretion should be taken. Based on changes in the composition of this fluid, the doctor will not only make an accurate diagnosis, but will also be able to immediately select the optimal treatment regimen.

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