What is the peculiarity of the transrectal ultrasound technique

The prostate gland is a male reproductive gland, which is supposed to play a colossal role in the functioning of the normal male reproductive cycle. According to anatomical features, it is located near the urea, as well as the ampulla of the rectum. Considering the location, the prostate gland is often affected by inflammation and other diseases.

In many ways, positive results in therapeutic intervention from any pathology are predetermined by timely, correct, accurate diagnostics of diseases. In addition to the fact that the diagnosis must be accurate, every patient wants the method of determining the diagnosis to be painless.

Timely diagnostics carried out by the method of transrectal ultrasound diagnostics of the prostate gland, that is, TRUS of the glandular organ, will be able to contribute to painless disposal of diseases associated with the genitourinary system.

One of the methods for diagnosing diseases associated with the prostate gland today is a list of examinations with ultrasound intervention. The effectiveness and frequency of prostate TRUS is associated with the fact that it is the most accessible, relatively painless, and also inexpensive, although it is one of the most accurate examinations.

What is the list of features of the transrectal prostate examination technique

TRUS diagnostics what is? Transrectal ultrasound technique for studying the glandular organ (TRUS of the prostate) is a method of ultrasound diagnosis using special rectal sensors. Earlier, when examining the prostate gland, as well as organs that are close to it, medical researchers widely used ultrasound with the possibility of abdominal access.

Abdominal ultrasound technique - what is it? It assumed the passage of ultrasound beams of an extremely long path - first the walls of the peritoneum, then the fatty layer, and also the urea. Only after that, doctors could visualize the tissue areas of the prostate. That is, even in the case when the patient did not have problems with being overweight, the distance from the immersed sensors to the examined organ was about ten centimeters.

If a man was found to have even the slightest degree of obesity, the distance from the sensors to the area under study increased by a couple of centimeters (under the best circumstance). Considering that the ultrasonic signals from the sensors are too attenuated when passing through adipose tissue muscles, the visualized picture on the monitor turns out to be extremely uninformative.

What can be attributed to the positive aspects of TRUSI

What is TRUZI? How can physicians bypass adipose tissue to accurately visualize the prostate? Such issues are resolved by changing the contacts of the sensors. Considering that the prostate gland is anatomically located close to the rectal intestine, and in fact there are no fat layers between the organs, the most acceptable method is to immerse the sensors in the rectal region.

In terms of the distance from the sensors to the prostate gland during transrectal ultrasound examination, there is a duration of 6-7 millimeters, which can also replace the frequency in studies from three and a half megahertz to high-frequency twelve megahertz. These factors had a positive result on the visualization of the obtained images, they are extremely clear, they carry high-quality information for doctors.

Also the most positive, and for a man the most important factor of TRUS of the prostate gland - this research technique is not invasive (that is, a needle, scalpel is not used, no incisions are made on the body), and if it is carried out correctly, the technique is completely painless.< / p>

What are the lists of indications for use?

Considering the positive aspect of the technique, the list of indications for prostate TRUS is very broad.

These include the following symptoms, as well as manifestations:

• violation of the reproductive system, decline in male libido;
• painful difficulty or frequent urination;
• painful sensation in the perineal region, suprapubic region, under the lower abdomen, in the lumbar region;
• the presence of plasma in sperm;
• presence of a diagnosed suspicion of infertility;
• the presence of a clinical report on renal impairment, renal pathology;
• painful sexual intercourse.

What are the contraindications to transrectal ultrasound examination?

Relative contraindications for performing TRUS of the prostate include:

• condition after resection or complete excision of the rectum;
• postoperative interventions on the rectum;
• formation of deep cracks in the rectum;
• hemorrhoids;
• the phenomenon of urinary incontinence in the urinary tract.

With the above-described pathological phenomena, TRUS is strictly prohibited.

How to properly prepare for TRUS of the prostate

In the area between the prostate gland and the rectum, no organs are located. Therefore, the list of instructions for preliminary preparation for transrectal ultrasound examination of the prostate is minimal in number.

Before proceeding with the examination by the TRUS method, it is necessary to empty the rectum by dipping a cleansing enema or by using a laxative medication. Some medical analysts argue that in order to determine the residual amount of urine in the urine, it is necessary to come to the procedure with a full bladder. Therefore, one to two hours before the start of the study, you need to consume about one and a half liters of water.

Research method

A man lying on a hospital bed relaxes, ultrasound sensors are immersed in his anus. The sensors are inserted along axial planes to a depth of five centimeters. It is necessary to learn that the whole procedure of transrectal examination of the prostate is painless, therefore, it will bring minimal discomfort, which, by sensations, can be easily confused with ordinary manual massage technique.

If the man who is going to be examined has cracks in the anus at the time of the procedure, he should be advised to postpone the ultrasound examination until the crack is completely cured. The transrectal ultrasound examination procedure takes about twenty to forty minutes. But this time is guaranteed to benefit the patient.

Prostate capsule can be seen during TRUS. Doctors determine whether the contours are correct, whether the prostate capsule is intact. If a malignant tumor is present, it invades the capsule through the vascular nerve bundles.