The secret of the prostate and the pain of the prostate

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:

Bad TRUS, prostate and PSA secret

Bad TRUS, prostate and PSA secret

1 Post by ask " Thu Feb 13, 2014 9:16 am

2 Post by megalucker " Thu Feb 13, 2014 1:54 pm

3 Post by Ostic " Thu Feb 13, 2014 9:27 pm

4 Post by Baragoz " Thu Feb 13, 2014 10:18 pm

In St. Petersburg, I can advise a good operating surgeon-oncologist in the urological part.

It's better to write a note to some thread of the military medical academy, there are usually norms. uncles accept (although there are exceptions).

5 Message ask " Fri Feb 14, 2014 8:36 am

6 Post ask " Fri Feb 14, 2014 8:37 am

7 Posted by dimm88 " Fri Feb 14, 2014 8:57 am

In Israel, Germany, Switzerland and the USA

Our country is in second place in the world in terms of cancer incidence (more than 500,000 new cases per year!), while we have a very high mortality rate from this disease - 300,000 people per year.

For example, recovery from cancer after treatment in Israel reaches 80%

8 Post ask " Fri Feb 14, 2014 10:11 am

9 Post by Ostic " Fri Feb 14, 2014 10:21 am

10 SEM Message " Fri Feb 14, 2014 10:32 am

11 Post ask " Fri Feb 14, 2014 1:43 pm

12 Post by Scarface " Fri Feb 14, 2014 2:07 pm

Never do a biopsy of the prostate. Unless, of course, you want heavenly pleasures for the rest of your life or you have nothing to lose, since it is 100% known that there will be an operation and they will still cut.

13 SEM Message " Fri Feb 14, 2014 3:20 pm

14 Post by Ostic " Fri Feb 14, 2014 3:42 pm

Scarface wrote: Never do a prostate biopsy. Unless, of course, you want heavenly pleasures for the rest of your life or you have nothing to lose, since it is 100% known that there will be an operation and they will still cut.

15 Post by Scarface " Fri Feb 14, 2014 3:58 pm

Well, yes, cut off a piece of a diseased organ and at the same time assume that a person will not notice anything.

TRUS of the prostate - features of the diagnostic method

You can check the general condition of the prostate, as well as its functionality, using various methods. One of them is a TRUS of the prostate. This method is distinguished by its informativeness, and therefore today it is rightfully considered the most effective.

What is TRUS and how is it done

TrUS is a Transrectal ultrasound examination of the prostate gland. It is a highly accurate method for determining pathologies in the tissues of the organ, and allows you to create a complete picture of the current state of the prostate. As with other ultrasound methods, in this case it is based on the ability of ultrasound to be reflected from inhomogeneous surfaces. That is, it reflects differently from healthy tissues than from pathological ones. The resulting image is displayed on a special monitor in real time.This allows the specialist to quickly analyze it and draw up a conclusion.

Transrectal ultrasound of the prostate helps to identify many pathologies, and even at an early stage of their development:

• inflammatory processes;
• formed cysts;
• presence of stones;
• new growths;
• pathological changes in the shape and size of the prostate gland;
• changing the structure of tissues;
• features of the blood supply to the organ;
• growth of glandular tissue (adenoma).

Transrectal ultrasound of the prostate helps to identify many pathologies

And this is not a complete list of the possibilities of this modern method. Based on the information provided, a number of diagnoses can be established without the need for additional research. Thanks to TRUS, such dangerous ailments as cancer, prostate adenoma, prostatitis, urination disorders, bladder damage (including cystitis), etc. are determined. Data from such a study may help in finding the cause of erectile dysfunction.

Where to do a TRUS of the prostate and when to do it

The prostate gland, despite its more than modest size, is a very important organ for every man. She is directly involved in the process of urination, the synthesis of hormones, even an erection. The prostate produces a secret that protects sperm from premature damage and death, that is, this organ also has an impact on the ability of a man to produce offspring.

Therefore, it is very important to monitor the health of the prostate gland.

At the slightest problem with the genitourinary system, you need to visit a urologist, who, if necessary, will give a referral for TRUS.

You can take the examination in the appropriate rooms with the proper equipment and experienced specialists

You can pass the test in the appropriate rooms, where there should be not only equipment of adequate quality, but also experienced specialists, since such an event is quite specific, if not unpleasant.

If you have symptoms such as:

• erection problems of unknown origin;
• painful, frequent, or difficult urination;
• the appearance of blood or other pathological impurities in the urine;
• pain in the pelvic area, including in the perineum and near the penis;
• swelling and redness of the urethra.

The attending doctor, having collected the history of the disease and the results of primary studies, can give a referral for TRUS

Then you should immediately visit a doctor. The specialist, having collected the history of the disease and the results of primary studies, can give a referral for a TRUS if the patient has:

• urinary incontinence;
• erectile dysfunction;
• poor semen analysis;
• infertility;
• renal failure;
• abnormal blood and urine tests;
• presence of tumor markers;
• rectal pathology.

Advantages and disadvantages

Transrectal examination of the prostate gland has both its obvious advantages and disadvantages. The advantages include the high accuracy of studies - much higher than other methods, the ability to obtain complete information regarding the organ under study, the absence of X-ray exposure, safety for the patient, the possibility of conducting several studies in a row, as well as the ability of the equipment to demonstrate the structure of adjacent organs, for example , bladder, which is sometimes also very important.

TrUS of the prostate

Disadvantages are more characterized by existing contraindications. The only classic disadvantage of this method is its nuisance, since an instrument is inserted into the patient's anus, and quite deeply (about 6-7 cm). Contraindications to the procedure are:

• anal fissures;
• paraproctitis;
• proctitis;
• hemorrhoids in an acute form;
• Previous surgery to resect part of the rectum.

How is TRUS of the prostate done - preparation

The preparatory period is very important, and this is typical for all other types of instrumental and diagnostic studies, not only for TRUS. It is important to understand that only high-quality preparation for a prostate ultrasound will provide the most accurate and voluminous information. If mistakes were made at the preparatory stage, the patient may be sent for re-examination, and this is a waste of time, money and nerves.

The patient must start preparing at home. A few days before the procedure, it is recommended to completely abandon food that provokes increased gas formation, for example, dairy products, legumes, cabbage, black bread.12 hours before the TRUS, it is forbidden to take any food, that is, you need to come to the procedure on an empty stomach.

A few days before the procedure, it is recommended to completely refuse food

The use of an enema is mandatory. It will cleanse the intestines of feces, even if there are few of them. This will significantly increase the efficiency of the study and its accuracy. An enema can be administered both at home and with the help of medical personnel. The best option is to use the Esmarch mug a few hours before the event. As a filler for an enema, it is recommended to use purified, slightly heated water. No impurities need to be added.

Sometimes the use of a standard enema is difficult, even in stationary conditions. In such cases, they resort to the help of special microclysters, which are freely available - they can be purchased at almost any pharmacy.

Preparation for the study of TRUS of the prostate should include the need for maximum filling of the bladder. Specifically for ultrasound, this is a very important requirement. Accordingly, a few hours before the procedure, the patient will need to drink several liters of water (without gas).

How a TRUS of the prostate is done:

• The patient undresses below the waist and then lies down on the couch. Body position - on the side, knees pulled up to the chest;
• The insertion tool is lubricated with a special gel and then inserted into the rectum. If there is a need to examine the condition of the seminal vesicles, then the sensor is inserted deeper than usual;
• after the initial examination, the patient goes to the toilet in order to empty the bladder;
• if necessary, a second examination is carried out in order to find out the condition of the organs with an empty bladder.

Ultrasound of the prostate gland - interpretation of the results

Deciphering the results obtained is a multi-level process, since at such an event far more than one indicator is determined. What exactly the specialists are doing will be more clear thanks to the corresponding table.

Here are the indicators determined using TRUS: