Truss of the prostate gland: how it is done and preparation for the procedure

Ultrasound examination of the body of the prostate gland is a highly accurate diagnostic determination of existing pathological processes in the organ. During the procedure, ultrasound waves pass through the prostate tissue, reflecting differently from damaged and healthy areas.

Since the examination can be carried out as part of preventive procedures, ultrasound does not have any indications for it. But there are situations when a study is prescribed to clarify the diagnosis, in which case the following patient complaints serve as indications:

1. Painful symptoms in the lower abdomen;
2. Problems emptying the bladder;
3. Infertility;
4. Kidney failure;
5. Deviations from the norm in the spermogram;
6. Detection of formations during rectal examination.

It must be said that with the help of ultrasound it is possible to make a diagnosis at the earliest stage of the pathology, when the disease is not so difficult to cure. Using ultrasound diagnostics, it is possible to identify diseases such as cancer, prostatitis, potency disorders, infertility and problems with the genitourinary system.

Once it has become clear how preparation for a prostate ultrasound occurs, you should find out the reasons for its appointment:

• Suspicion of an inflammatory process in the tissue of the prostate gland in the presence of pain or pain during urination, discomfort in the lower abdomen.
• Deviations from the norm during a manual rectal examination by a surgeon (palpable enlargement of the gland or nodules on its surface).
• Suspicion of the development of tumors, cysts (characterized by dysuric symptoms, blood in the urine, infertility and an increase in the level of prostate-specific antigen in the blood).
• Chronic pathology of the urinary system (urolithiasis, chronic glomerulonephritis and pyelonephritis, etc.).
• Male infertility, deviations from the norm in spermogram, blood and urine tests.
• Screening for common prostate diseases for men over 40 years of age (recommended once a year in conjunction with a PSA test).

The presence of discomfort in the urinary tract requires an ultrasound examination. The ultrasound procedure is performed after preliminary preparation, the rules of which every patient should know.

When using this technique, the doctor may find:

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• malignant neoplasms;
• erectile dysfunction;
• inflammatory processes in the prostate;
• damage to the walls of the bladder;
• benign tumors in the prostate gland;
• The causes of urination disorders are stenoses.

How is an ultrasound of the prostate gland performed in men?

TRUS (transrectal ultrasound) of the prostate gland is one of the most accurate and informative methods for studying the prostate gland.

Under the influence of ultrasonic waves, an image of the prostate is formed and displayed on the monitor screen, which allows one to draw a conclusion about the presence or absence of pathologies and changes in the tissues of the gland.

The procedure for conducting transabdomial ultrasound:

1. The procedure is performed with the patient lying on his back.
2. To treat the sensor, the doctor uses a special gel.
3. The sensor is applied to the area to be examined.
4. The size and structure of the organ is assessed.
5. After the ultrasound, the specialist will draw up a conclusion that will describe all the information that may be of interest to the attending physician and will help in making a diagnosis and starting treatment.

Transrectal ultrasound has some nuances in performing:

• A condom is placed on the sensor used for research and lubricated with gel. This will avoid discomfort in the patient.
• The patient will lie on his side (right) and press his knees to his chest.
• The device with the sensor is carefully inserted into the anus and advanced 5-7 cm.
• The doctor visually examines the prostate, assessing its size and structural characteristics. Sometimes, if a formation is detected in the gland, tissue sampling may be required. For this, a special needle is used. The procedure is considered virtually painless. This way, the doctor will be able to distinguish an adenoma (BPH) from prostate cancer.
• Depending on the complexity of the study, it takes from 15 to 25 minutes.

There are several methods for performing ultrasound of the prostate and bladder:

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• Transabdominal (through the anterior abdominal wall).
• Transrectally (through the rectum).

The latter method is more informative, but may cause discomfort for some men. During this scan, the sensor is located in close proximity to the prostate, which increases the degree of visualization. The first option is used when transrectal examination is impossible for a number of reasons or at the insistence of the patient.

How long does an ultrasound take? Depending on the method determined by the doctor, it can last from 25 minutes to 50.

You can undergo a prostate ultrasound in a hospital or clinic, a private medical center, or specialized clinics dealing with family health and infertility treatment.

The cost of the procedure will depend on the status of the institution, the modernity of the equipment and the qualifications of the doctors. Typically, the price of TRUS and transabdominal manipulation is 600-4500 rubles.

The average price of prostate ultrasound in St. Petersburg is 1200-1800 rubles, in Moscow – 1300-1700 rubles. Transrectal ultrasound will cost approximately 10-15% more than transabdominal ultrasound.

Preparing for an ultrasound

Careful preparation for a prostate ultrasound is not required if the gland is examined through the abdominal cavity. Diagnosis should be carried out with a full bladder in order to check the prostate as thoroughly as possible. The patient needs to drink up to 1.5 liters of water half an hour before the appointment or 1 liter per hour. As soon as a man feels the urge to go to the toilet, he should inform the doctor.

Preparation for a transrectal prostate ultrasound begins 3-4 days in advance:

1. Eliminate alcohol and gas-causing foods (beans, apples, cabbage, etc.) from your diet;
2. On the day before the examination procedure, cleanse the intestines.

It is recommended to relax as much as possible and conduct the examination on an empty stomach. Rectal diagnostics may cause slight discomfort; if the patient experiences severe irritation, the doctor should be informed.

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

1. Cleansing enema. An enema before an ultrasound of the prostate is carried out using an Esmarch mug, a rubber hose with a tip and water at room temperature in the amount of 1-1.5 liters;
2. Microclysters (“Microlax”, “Norgalax”) - are a small tube filled with a quick-acting laxative. The contents of the tube are inserted into the rectum, and when the urge to defecate occurs, the patient goes to the toilet;
3. Glycerin suppositories - used similarly to microenemas;
4. Taking Fortrans, a special drug for cleansing the intestines before therapeutic and diagnostic procedures. The downside of the product is its relatively high price; in addition, it is better to discuss its use with your doctor.

Preparation for TRUS of the prostate at home includes following the so-called slag-free diet - a special medical table that reduces the formation of gases and feces. When following it, the following foods are excluded from the diet:

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

It is allowed to consume low-fat varieties of fish and meat, low-fat broths, rice and buckwheat porridges, fermented milk products (cheese, cottage cheese, kefir), bread baked from wholemeal flour, jelly, compotes, juices.  

Normal indicators

What is a norm, what indicator is considered standard? You can decipher the analysis protocol yourself, remembering that the general formation of the prostate ends by the age of 25. The pathological process leads to swelling and tissue growth - the size and volume of the prostate increases. Normal indicator:

• width 3-4.5 cm;
• thickness – 1.5-2.5 cm;
• length – 2.4-4 cm;
• the volume is calculated using the formula: multiply all linear indicators and multiply by a factor of 1.6.

When the patient does not have any pathological transformations in the prostate, the diagnosis reveals a rounded shape of the gland, its tissues are homogeneous, and the parameters are within the established norm. There should be no changes in the vascular structures. The prostate finishes forming around the age of 25.

Normally, the width of the gland does not exceed 30-45 mm, the thickness is about 15-25 mm, and the length is approximately 24-40 mm.

In men, transrectal ultrasound causes negative reviews and feelings, however, you need to understand that this technique ensures error-free data and is considered absolutely safe.

Regardless of the price, prostate ultrasound detects tumors and inflammatory lesions at the very initial stages of development.

Contraindications

Contraindications to the ultrasound procedure may include:

• involuntary urination (incontinence), because the manipulation is carried out with a full bladder;
• obesity or simply a significant amount of excess weight - a large layer of subcutaneous fat makes scanning difficult;
• manifestations of any skin diseases in the lower abdomen (herpes, ulcers and wounds, pyoderma, any rashes and infectious lesions).

The transrectal method has the following obstacles:

• exacerbation of chronic intestinal inflammation (hemorrhoids, fissures, Crohn's disease, dysentery, etc.);
• acute stage of hemorrhoids;
• absence of the rectum (this is possible after surgery, then instead of the organ an artificial anostomy is installed, designed to remove excrement);
• intestinal obstruction or narrowing of the rectum;
• intolerance to medical rubber (latex).

This list can be supplemented with diseases associated with infectious lesions of the rectum, but such cases are considered individually by the attending physician directly during the appointment of an ultrasound scan.

Contraindications for the transurethral method (through the urethra):

• inflammation of the urethra;
• intolerance to painkillers.

Finally

Ultrasound today is one of the safest methods of examining the body and, at the same time, affordable. In the case of diagnosing pathologies of the bladder, safety is extremely important due to the close proximity to the organs of the reproductive system, which are quite susceptible to various types of radiation exposure.

Do men need a bladder ultrasound? Based on the data available from all clinics in the world, such a diagnosis has helped many patients, which has led to their rapid recovery and thus increased quality of life.

This is especially true for oncological processes, for which timely diagnosis and treatment are extremely important. Today, ultrasound methods have become a full-fledged “member” among methods for diagnosing the genitourinary system and many others.

Now you know everything about TRUS and ultrasound of the prostate gland, preparation for research. Ultrasound examination 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 identify prostate disease at an early stage, when the prognosis is more favorable, and prescribe effective treatment to the patient.

Despite the safety of ultrasound, it is important to take contraindications seriously. On the other hand, this procedure cannot be ignored, because making an accurate diagnosis and prescribing treatment depends on it.

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Source: https://healthy-man.ru/uzi-prostaty-podgotovka/

Prostate ultrasound: preparation for the study, features of the procedure, tips and reviews

• September 14, 2018
• Prostate
• Natalia Michaelis

Unfortunately, many men are familiar with prostate diseases. If you ignore prostatitis, it can result in cancer or adenoma. That is why it is important to identify problems promptly and begin treatment. Modern medicine can offer many different research methods. And one of them is TRUI. But what is TRUS of the prostate? Preparation for the study, contraindications and indications for use will be presented in this article.

General description of the procedure

TRUS (transrectal ultrasound) is a method of studying the condition of the prostate gland using ultrasound by inserting an electronic sensor directly into the rectum. An image is displayed on the monitor on which you can see the size, as well as the condition of the organ and its location.

Why is it carried out?

This type of diagnostic study has a number of advantages, which are as follows:

1. TRUS can give reliable results.
2. Such a procedure can detect pathology at the initial stage of its development.
3. This study does not require x-rays, making this method safe for the body.
4. TRUS can detect the infectious process of inflammation.
5. The procedure is painless. However, the patient may feel slight discomfort only during insertion of the sensor into the rectum.
6. Thanks to TRUS, it is possible to examine in detail all the soft tissues of the prostate gland.

As for the frequency of TRUS, such a procedure is allowed to be performed as often as required. Healthy men over 45 years of age should undergo such an examination at least once a year, and if they have prostatitis, then once every six months.

What can be seen with transrectal ultrasound?

TRUS is included in the list of research methods recommended by experts to exclude or confirm prostatitis in a man, as well as prostate cancer or adenoma. In addition to these diagnoses, such an examination also detects the presence of fibrosis, stones in the gland, as well as various anomalies in the structure of the organ.

TRUS can show the following parameters of the prostate:

• top-bottom size;
• anterior-posterior size;
• transverse size of the prostate gland;
• prostate shape;
• vas deferens;
• contours of the prostate gland;
• echogenicity;
• presence of a median lobe;
• total volume of the prostate gland;
• volumetric formations;
• structure of the central and peripheral zones;
• symmetry;
• structure and size of seminal vesicles;
• paraurethral fibrosis;
• amount of residual urine.

To determine the amount of residual urine, TRUS must be performed twice: the first time the procedure is performed on a full bladder, and the second time it must be done after urination.

Indications

TRUS is prescribed if any pathology arising in the prostate gland is suspected. As a rule, a specialist prescribes this diagnosis for certain patient complaints, as well as after a digital examination if there is a suspicion of a disease. Transrectal ultrasound examination is recommended in the following cases:

1. The patient has chronic prostatitis. In this case, using TRUS it will be possible to track the dynamics, as well as determine the effectiveness of the selected treatment therapy.
2. TRUS may be prescribed if the prostate antigen test is higher than normal.
3. The patient has tumors in the prostate gland, which requires a biopsy. In this case, TRUS shows from which area of ​​the prostate gland it is necessary to take biological material for research.
4. The procedure may be prescribed if the patient experiences pain during a digital rectal examination of the prostate.
5. With planned brachytherapy. In this case, TRUS determines the volume of the prostate.
6. The patient's age is more than 45 years. In such a situation, TRUS is a preventive standard for examining the organ.
7. It is necessary to exclude cystic neoplasms in the seminal vesicles.
8. When planning elastography.

Indirect testimony

In addition, ultrasound examination is recommended for the following patient complaints:

1. Weak stream during urination.
2. Discomfort occurring in the perineal area.
3. Frequent urge to urinate.
4. Discharge from the urethra during urination.
5. Pain and stinging sensation when emptying the bladder.
6. Presence of blood in the seminal fluid.
7. Enuresis.
8. Weakened potency.
9. Erased orgasm.

Contraindications

The TRUS procedure also has a number of contraindications, which are as follows:

1. Prostatitis occurs in the acute stage.
2. Presence of perirectal fistula.
3. Bleeding from the anal area.
4. Severe diarrhea.
5. Abscess on the prostate gland.
6. Acute paraproctitis.
7. Presence of mental illness.

Preparation for TRUS of the prostate in men

The procedure is carried out in a clinical setting. However, the patient is required to prepare for TRUS of the prostate. In this case, the study will not need to be repeated.

Preparatory measures should include bowel movement a couple of hours before the start of this procedure. But what does such preparation for TRUS of the prostate mean? The study can be carried out after bowel movement, which can be done in several ways:

• Method No. 1. If a man does not have the desire to empty his bowels on his own, then he will need to drink a laxative or give an enema. This will require about one and a half liters of warm water. If for some reason an enema is not given, then you can use a microenema, for example Microlax.
• Method No. 2. You can also empty your intestines using a glycerin suppository, which is placed into the anus. Before inserting it, the patient should lie on his side so that it does not leak out during dissolution. When the urge to defecate appears, you must immediately go to the toilet, because it will be very difficult for a man to endure in such a situation. To prevent defecation from happening in a specialist’s office, it is best to carry out a similar procedure at home.

Sometimes patients have some difficulties with bowel movements, so do not be shy in such cases. It is better to immediately tell your doctor about the problem, who should take appropriate measures.

This is due to the fact that the bowel cleansing procedure itself is a very important part of the preparation for TRUS of the prostate. The examination should also be carried out after the bladder has been prepared. More on this below.

Bladder preparation

An equally important step in preparing for such a procedure is preparing your bladder.

But how to prepare for TRUS of the prostate gland in this case? To perform this procedure, you need to completely fill your bladder.

This can be done in several ways, and the choice will depend on what type of research needs to be performed.

When answering the question of how to prepare for TRUS of the prostate, it should be noted that filling the bladder can be done independently, although most specialists perform this procedure themselves. Typically this is done using a catheter. Here, too, there are two methods for preparing TRUS. Let's look at them separately:

• Method No. 1. If the patient has reduced potency, has infertility, or has an increased level of PSA in the blood, then 1 hour before the test, you need to drink one liter of plain water. Thanks to this, the bladder will fill very quickly, and it cannot be emptied until the TRUS examination is completely completed. Preparation for the study can also be done in another way.
• Method No. 2. If it is necessary to identify the cause of existing difficulties with urination, then a completely different preparation method is used. Such preparation for TRUS of the prostate in men involves taking one and a half liters of still water. After this, it is also forbidden to visit the toilet, as in the previous case. If the patient drinks carbonated water, the specialist will not be able to conduct the study, since such a procedure will have to be postponed for several hours. When the first urge to urinate appears, you must immediately tell a specialist about it, who should begin the TRUS procedure of the prostate.

When the study is completed, the patient can go to the toilet, since urine should not be stored in a bladder under any circumstances. Otherwise, an infection may begin to develop in urine.

This is especially true in situations where patients have a severely weakened immune system.

Then the bacteria penetrate the human body very quickly, because stagnant urine is an excellent place for the proliferation of various pathogenic microflora.

Those patients who do not know how to prepare for TRUS of the prostate gland will be consulted by a specialist.

Features of nutrition before TRUS

In addition to the procedures described above, it is also necessary to follow some dietary rules before conducting the study. Preparing for TRUS of the prostate gland involves eliminating gas-forming foods from your diet. These products include:

• cabbage;
• legumes;
• fresh baked goods;
• pasta;
• some fruits, such as green apples, grapes, plums;
• alcoholic and carbonated drinks.

It is best for the patient to switch to boiled fish and meat, light soups and cereals before the procedure. In addition, preparation for the TRUS procedure of the prostate gland involves refusing to eat approximately seventeen hours before the start of the study.

Use of sorbents

After dinner, it is recommended to drink activated charcoal. He takes one tablet for every ten kilograms of body weight. During preparation for TRUS of the prostate, activated carbon can also be replaced with other sorbents, before using which you must read the instructions for their use.

Carrying out TRUS

When the patient has prepared for this procedure, the main part should begin. To do this, the man lies on his side on the couch, with his back to the specialist, with his legs tucked to his chest.

After this, the doctor places a condom on the smart sensor, lubricating it with lubricant to facilitate insertion into the rectum.

If it is necessary to check the condition of the bladder neck and seminal vesicles, then the device is inserted to a depth of ten centimeters.

After this, all information about the prostate gland appears on the monitor in the form of an image. When the prostate is examined, the specialist removes the sensor. At this point the procedure is completed.

All results are given to the patient in the form of a protocol, where the parameters of the organ are described in detail, and a presumptive diagnosis is made.

Differences between TRUS and ultrasound

Ultrasound and TRUS detect changes in the prostate, as well as in the bladder and urinary canal. These methods are used using ultrasound, and are also characterized by displaying an image of the prostate gland on a monitor.

The main difference between TRUS and ultrasound is that during an ultrasound, the prostate gland is examined through the abdominal wall, and TRUS is done by inserting a special sensor into the rectum.

Reviews and advice

Most men who have resorted to the TRUS procedure speak positively about this method. Patients note the absolute painlessness of this procedure, as well as the reliability of the results.

In addition, patients claim that TRUS is a very inexpensive and informative method for detecting prostate disease.

The only advice is to follow all the doctor’s recommendations regarding preparation for a prostate examination. They have been described in this article.

Source: https://cureprostate.ru/419885a-truzi-prostatyi-podgotovka-k-issledovaniyu-osobennosti-provedeniya-sovetyi-i-otzyivyi

Transrectal ultrasound examination (TRUS) of the prostate gland - how is it done?

Transrectal ultrasound (TRUS) is one of the most accurate diagnostic methods. A special sensor is used for this.

With its use, the specialist examines the prostate gland without any difficulties, guaranteeing complete safety for the patient.

Using sound waves, the doctor takes pictures of the affected organ and carefully studies them to confirm or refute the alleged diagnosis. Most people interested in transrectal ultrasound of the prostate do not know why this method is better than others.

For example, because it is safer than the usual x-ray. In addition, a big plus is that diagnosis is possible for any patient’s weight. What TRUS is, how it is done, and other features of the procedure will be described in more detail later in the article.

Indications for who needs to undergo TRUS of the prostate

TRUS may be prescribed in the following cases:

TRUSI is prescribed to:

• determine whether there are any abnormalities in the prostate gland;
• give an accurate diagnosis as a result of which reproductive function disorders arose;
• give an accurate assessment of the size of the prostate;
• determine whether there are abnormal growths in the prostate gland.

Contraindications for ultrasound examination

Despite its high effectiveness and painlessness, TRUS cannot be performed in all patients.

The procedure is not permitted if:

• exacerbations of hemorrhoids;
• presence of cracks in the rectum;
• absence of the rectum due to its removal;
• acute inflammatory skin processes around the anus;
• after surgical operations in the rectum (in this case, TRUS is possible, but not advisable);
• the course of hemorrhoids in the acute stage.

Preparing for transrectal ultrasound

All necessary preparatory processes must be carried out several days before the study. During this period, the patient must adhere to many restrictions, including excluding from the diet foods that can cause increased gas formation.

Products that increase gas formation include:

• grape;
• legumes (beans, lentils, peas);
• carbonated drinks and water;
• cabbage;
• yeast bread.

The diet should consist exclusively of easily digestible foods.

If you ignore the preparatory stage, the test results will be incorrect due to compression of the prostate gland by feces.

The day before the procedure, it is recommended to have a bowel movement using special microenemas (for example, Microlax). This procedure is performed without any particular difficulties.

To do this, the man needs to lie on his right side, and then insert the entire contents of the tube into the anus. Then all that remains is to wait for the urge to defecate.

The psychological state of the patient before the start of the TRUS procedure is quite an important point. Of course, the introduction of a sensor will make a man experience certain emotions, which manifest themselves in the form of nerves, embarrassment and discomfort.

It must be remembered that the main thing in conducting TRUS is to find out the cause of the health problems that have arisen and determine which treatment will be most effective.

Basic rules for preparing for TRUS:

• the last meal should be 18 hours before the test;
• Before going to bed, be sure to do a cleansing enema of feces;
• Eating in the morning is not allowed. However, you can drink some clean water.

How is TRUS of the prostate gland performed in men?

Before starting the procedure, if the appointment for a transrectal ultrasound is associated with decreased potency or infertility, the patient’s bladder is filled directly in the clinic.

• To do this, he will need to drink several glasses of clean still water.
• If the patient has problems with urination, then he needs to drink approximately 1.5 liters of liquid, and then wait for the urge to go to the toilet.
• At this point, TRUS should be performed, since it is in this case that the information will be as accurate as possible.
• Carrying out the procedure:

• Before starting the procedure, the patient must lie on the couch on his left side and, bending his legs, press them to his chest;
• before performing TRUS, the specialist needs to put a special rubber cap on the device’s sensor, which should be lubricated with petroleum jelly;
• the patient is inserted into the anus at a distance of up to 6 centimeters.

Due to the fact that the prostate gland is located behind the rectum, this greatly facilitates the passage of ultrasound waves into all its tissues, which is an obvious advantage over other ultrasound methods.

Transrectal ultrasound of the prostate

During operation, the drug scans the response radiation, after which all the necessary information is transmitted to a computer monitor, from which the specialist reads the boundaries, color of the prostate gland, its density and outline.

After this, he moves the probe a little deeper to examine the current state of the seminal vesicles. Normally, they should be of a uniform texture, have a characteristic vascular pattern and clear outlines.

As a result of the study, the lumen of the bubbles can be detected, which indicates the presence and development of the pathological process.

The health of the urinary system can be assessed using special calculations of the size of a full bladder.

If necessary, a transrectal ultrasound scanning device can perform a biopsy; its functionality includes a device for taking a piece of organ tissue. This procedure causes discomfort for most men. After completion of the procedure, a small amount of liquid may be released in men's urine or semen.

The biopsy is performed painlessly due to a preliminary injection of a local anesthetic. After this, the location chosen by the specialist is displayed on the monitor. Next, tissue is collected using a biopsy needle.

After all the necessary manipulations have been carried out, the patient can be immediately free, since the specialist will have all the necessary results after performing TRUS.

Does it hurt or not?

The sensor used for rectal access does not cause any pain.

Possible problems are most often associated with the stress experienced by a man during this procedure. There are cases in medicine when a specialist could not bring the sensor to the location of the prostate gland due to such a patient’s condition.

Rectal penetration during ultrasound examination may cause discomfort if the diagnosis of swelling or acute inflammation is necessary. The duration of the procedure varies from 10 to 15 minutes.

In rare cases, painful sensations are observed, but they are of low intensity, and there are no complications after the procedure.

Reviews

Based on the reviews of most men, it is obvious that the TRUS procedure is not the most pleasant.

1. Despite the fact that there is no pain during the procedure, almost everyone tested feels tension and discomfort.

2. But, despite these disadvantages, they trust the procedure, consider it the most informative, and therefore “turn a blind eye” to possible unpleasant sensations.

3. The cost varies from 550 to 2400 rubles depending on the chosen city and clinic, which is relatively inexpensive for such an effective diagnosis.

Video on the topic

Basic video lesson on ultrasound diagnostics of the prostate gland using the transrectal method:

TRUS is considered the most reliable and informative method for examining the prostate gland. It allows you to determine the presence of pathological processes in an organ, including oncology. Despite the painlessness, men mentally prepare for the procedure for quite a long time.

Source: https://prostata.guru/prostatit/diagnostika/transrektalnoe-uzi/kak-delayut.html

Preparing for prostate examination - how to do it

The prostate is one of the most important and most vulnerable organs of the male body.

The age of forty is considered a kind of milestone, after which every man is recommended to regularly visit a doctor and undergo the examinations prescribed by him.

In this article we will tell you what methods are used to determine the condition of the prostate, and how to prepare for TRUS of the prostate gland.

The prostate is deservedly called the “second heart” of a man, and a lot depends on its normal condition: good health, allowing you to lead a full active life, sexual desire and potency, the ability to procreate.

When the functioning of an organ is impaired, a person has to experience a lot of troubles, ranging from minor nagging pain in the perineum, groin and lower back, frequent urination associated with pain and burning, and ending with problems on the love front. But most men prefer to endure all this courageously, instead of seeing a doctor and carefully following all his instructions.

When visiting a urologist, a rectal digital examination of the prostate is performed and, if there is any suspicion of a particular disease of the gland, the patient is referred for an ultrasound examination.

Ultrasound of the prostate is performed transabdominal (through the peritoneal wall) or transrectal (by inserting a sensor into the rectum) methods.

Despite the simplicity of abdominal ultrasound, this method is now used quite rarely due to its poor information content and the frequent receipt of unreliable results. At the same time, TRUS of the prostate has a number of advantages:

• Anatomically, the prostate is located in close proximity to the rectum and, during examination, is separated from the sensor only by its wall.
• Allows you to study in detail the condition of prostate tissue.
• It makes it possible to accurately determine the size of the gland and organ lobes, which is important when diagnosing various diseases.
• Allows you to examine the state of seminal vesicles.
• Clearly identifies calcified areas, allowing you to identify stones in the vas deferens.
• The results obtained are characterized by maximum reliability.
• Does not involve the use of X-rays, absolutely safe for the patient’s health.

Very often, men refuse to undergo TRUS of the prostate gland because they are confident that this method is extremely painful. In fact, proper preparation and psychological attitude will help you avoid discomfort and pass the examination with ease.

Transrectal ultrasound of the prostate gland: indications and contraindications↑

TRUS is referred in the following cases:

• Detection of pathological areas during digital rectal examination.
• Characteristic manifestations of prostatitis are a frequent need to visit the toilet, pain and burning when urinating, minor pain in the perineal and groin area.
• Weakening libido and potency.
• Regular constipation.
• Suspicions of male infertility.

TRUS is not recommended for:

• Acute stages of hemorrhoids.
• Recent rectal surgery.
• Acute intestinal obstruction.
• Acute urinary incontinence.

But it should be noted that in case of emergency, TRUS is performed even in patients with such disorders.

What does the doctor see during the study?↑

Transrectal ultrasound examination of the prostate allows you to examine the entire organ in detail. First of all, the capsule of the gland is examined and its integrity is determined, which is very important when diagnosing malignant neoplasms of the prostate, since, as a rule, the tumor extends beyond the organ.

TRUS makes it possible to accurately assess the symmetry of the contours of the prostate and the characteristics of the internal structure of the organ.

In addition, not only a pathological increase in the size of the gland is determined, which is of great importance in the case of adenoma, but also pathological changes in the hyperplastic area, features of the internal structure of a benign neoplasm.

These data are used to diagnose the stage of the disease, predict its further course and prescribe effective therapy.

Ultra-modern equipment allows you to visually examine the seminal vesicles and vas deferens, to identify the presence of stones in them, which can lead to difficulty in removing secretions, complete blockage, the development of stagnant processes and inflammation.

Comprehensive preparation↑

You need to know that TRUS cannot be performed without appropriate preparation, which should begin several days before the planned procedure.

• A man’s diet should not include foods and drinks that cause increased gas formation or constipation - legumes, especially peas and beans, baked goods with yeast, pasta, plums, apricots, apples, some other fruits and berries, carbonated water, kvass, alcoholic drinks. You should switch to easily digestible food, and divide the daily diet into four to five meals in small portions. It is recommended to eat various low-fat soups, boiled or stewed vegetables, fish, chicken, turkey or rabbit.
• The evening before the study, it is not recommended to have dinner after six o'clock. About an hour and a half after the last meal, it is recommended to take activated carbon, instead of which you can use more powerful sorbent preparations.
• Before going to bed, you should give a cleansing enema by filling a syringe with about one and a half liters of warm water.
• On the morning of the study, you are prohibited from having breakfast. A couple of hours before TRUS, it is necessary to cleanse the intestines again using a water enema, microenemas or glycerin suppositories.

• An accurate examination of the prostate requires an adequate filling of the bladder. To do this, you should drink at least a liter of still water or fruit drink approximately an hour before the procedure. You can also arrive at the clinic early, take a liter bottle of water with you, drink it and start the study when you want to go to the toilet.
• Every man experiences quite natural anxiety before the procedure, which can negatively affect the examination, making it difficult to insert the sensor into the rectum and causing pain. Therefore, when going for research, you can take a mild sedative.
• When going to TRUI, choose as loose clothing as possible. By the way, be prepared for the fact that before starting the procedure you will be asked to put on a special shirt.
• Before the procedure, a special condom is put on the sensor, which you may be asked to buy in advance at the pharmacy.

Careful preparation for TRUS is important for both the doctor and the patient. The detailed and reliable information obtained during the study is necessary for accurate diagnosis and prescribing an effective therapeutic course. At the same time, by properly preparing for the procedure, a man will avoid possible discomfort and will be able to conduct the examination quickly and painlessly.

How is TRUS performed?

Before starting the procedure, you should change into the provided shirt that does not restrict movement, lie on your side on the couch, turn your back to the doctor, pull your knees to your stomach and relax as much as possible. For hygiene purposes, a condom is placed on the sensor, to facilitate passage through the anus, it is treated with gel and carefully inserted into the rectum. The doctor then moves it about five centimeters higher, closer to the place where the prostate is, and examines the organ.

It is possible to conduct additional examination after emptying the bladder. In this case, the procedure is interrupted, the patient is asked to go to the toilet in a small way, after which the ultrasound examination is continued.

Today, transrectal ultrasound is the most informative and safe method that allows you to obtain reliable information about the condition of the prostate gland within a few minutes.

And, despite the fact that this procedure requires some preparation and is associated with the appearance of some discomfort, its advantages make TRUS necessary for timely accurate diagnosis and proper treatment of diseases of the male genitourinary system.

Source: https://eprostatit.ru/883-pravila-podgotovki-k-truzi-predstatelnoj-zhelezy

Ultrasound and ultrasound of the prostate: everything about preparing for the examination of the prostate gland in men

The prostate gland is the “weak spot” of most men who have crossed the forty-year mark - according to statistics, from 40% to 90% of people suffer from chronic diseases of the organ, depending on the age category.

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

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

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What is research?

Ultrasound examination of the prostate is a method of monitoring pathological changes using a special sensor that emits ultrasound waves. Ultrasound is reflected differently from tissues of different densities and structures; 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, and if necessary, additional methods of examining the patient are prescribed.

There are two types of prostate ultrasound:

• transabdominal ultrasound;
• transrectal ultrasound.

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

REFERENCE: The normal volume of the prostate gland is 20-25 ml, weight – 20-27 g, length, width and thickness, respectively, 3, 3 and 2 cm.

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

• But in the medical report, the condition of the gland will be described in as much detail and accuracy as possible.
• In addition, in addition to the prostate, the specialist will be able to examine the urethra, seminal vesicles and surrounding tissues of the rectum, which is important when diagnosing 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 prostate diseases:

• 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. Uneven edges, the presence of suspicious areas - these signs tilt the diagnosis towards a malignant neoplasm, but to clarify it, other studies are usually required - puncture biopsy, computed tomography, etc.

How is it carried out?

A transabdominal ultrasound begins with the patient being asked to lie on their back and expose their lower abdomen. Next, the healthcare worker applies a special gel to the sensor, which improves the passage of ultrasonic waves (the substance is absolutely harmless to human skin), and presses the device in various projections to the anterior abdominal wall, observing the picture on the monitor.

When performing 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 to 7-9 cm).

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

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

Transrectal ultrasound is contraindicated for intestinal obstruction, chronic anal fissures, acute stage of hemorrhoids, and after rectal surgery.

You can read about preparation for ultrasound of the bladder and prostate in men and how the study is carried out here.

Let's look at preparing for a prostate ultrasound 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 a prostate ultrasound 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.

Taking into account the rate of water absorption and renal filtration, you should start drinking liquid no less than an hour before the scheduled examination time.

1. Cleansing enema. An enema before a prostate ultrasound is performed using an Esmarch mug, a rubber hose with a tip and water at room temperature in an amount of 1-1.5 liters.
   
2. Microclysters (“Microlax”, “Norgalax”) - are a small tube filled with a quick-acting laxative. The contents of the tube are inserted into the rectum, and when the urge to defecate occurs, the patient goes to the toilet.
3. Glycerin suppositories are used similarly to microenemas.
4. Taking Fortrans , a special drug for cleansing the intestines before therapeutic and diagnostic procedures. The downside of the product is its relatively high price; in addition, it is better to discuss its use with your doctor.

How to prepare for TRUS of the prostate gland? Preparation for TRUS of the prostate at home includes following the so-called slag-free diet - a special medical table that reduces the formation of gases and feces.

When following it, the following foods are excluded from the diet:

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

It is allowed to consume low-fat varieties of fish and meat, low-fat broths, rice and buckwheat porridges, fermented milk products (cheese, cottage cheese, kefir), bread baked from wholemeal flour, jelly, compotes, juices.

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

Conclusion

Now you know everything about TRUS and ultrasound of the prostate gland, preparation for research. Ultrasound examination 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 identify prostate disease at an early stage, when the prognosis is more favorable, and prescribe effective treatment to the patient.

Source: https://samec.guru/anatomiya/polovaya-sistema/prostata/uzi/podgotovka.html

How to prepare for prostate examination?

If, during a prostate check, a patient has any problems, the doctor may prescribe him an additional examination, which is called TRUS of the prostate gland, preparation for which is simple.

During the procedure, a special sensor is inserted directly into the rectum to a shallow depth, which examines the desired organ from the inside.

This transrectal ultrasound examination is currently carried out quite quickly - moreover, it does not cause pain or discomfort to the patient.

What ultrasound methods are used to examine the condition of the prostate?

Nowadays, 2 methods of research and examination of the prostate gland are used:

1. Transrectal – it is carried out by inserting a special device into the rectum, which displays the prostate on a computer screen.
2. Transabdominal – performed through the patient’s abdominal wall.

The main indications for this method of prostate examination are:

• chronic prostatitis;
• acute prostatitis or its complications, which can only be identified by examining the gland;
• malignant prostate tumors or suspicion of their development;
• vesiculitis, problems with urination;
• male infertility, etc.

Ultrasound transrectal analysis is recommended for painful urination, constant urge to empty the bladder, as well as pain and itching in the perineum. In addition, such a diagnosis should be carried out in case of infertility and early ejaculation, since this study makes it possible to establish an accurate diagnosis and prescribe the necessary treatment.

Thanks to TRUS of the prostate gland, which does not pose any particular difficulties in preparation, the doctor will be able to see the structure of the tissues of the internal organs, determine their size and condition, and see the presence of prostate nodes and malignant tumors.

According to patients, the most unpleasant and painful sensations they experience are caused by the insertion of a sensor into the anus, while the examination itself is painless.

Before conducting the examination, the doctor should tell the patient about the preparation for it, which can be done at home. Otherwise, the examination may not take place or its results may be unreliable. Therefore, the patient must first empty the intestines and fill the bladder.

Preparation for TRUS of the prostate

In order not to prescribe additional TRUS to the patient, it is necessary to carry out preparatory measures, which include bowel movement several hours before the start of the procedure.

This can be done in different ways:

1. If a man does not want to have a bowel movement, he needs to drink a laxative or have an enema. This will require approximately 1.5 liters of slightly warm water. If for some reason it is not possible to give an enema, you can use microenemas such as Microlax.
2. You can also empty your intestines using a special glycerin suppository, which must be inserted into the anus - before inserting the suppository, it is important to lie on your side so that it does not leak out when it melts. When the urge appears, you must immediately go to the toilet, since it will not be easy to endure in such a situation. In order not to have a bowel movement in the doctor's office, it is better to do it at home.

Sometimes bowel movements cause certain difficulties, so in this case you should not be embarrassed - it is better to immediately notify your doctor, who will take appropriate measures. After all, the bowel movement procedure is considered very important for TRUS.

Bladder preparation

At the second, no less important stage of preparation for transrectal ultrasound, the bladder is completely filled. This can be done in several ways, and their choice directly depends on what type of research needs to be performed.

It is worth noting that this procedure can also be performed independently, although many doctors often fill the bladder themselves to the required level - this is done using a catheter.

1. When performing TRUS, which is necessary in case of decreased potency, infertility, as well as an elevated PSA level, you need to drink a liter of water 1 hour before the test. Thanks to the water you drink, the bladder will soon fill and cannot be emptied until the examination is completely completed.
2. If the purpose of TRUS is to determine the causes of difficulties with urination, a different preparation method is used. The patient must drink 1.5 liters of still water, after which he is also not allowed to visit the toilet. If you take sparkling water, the test will not be possible, so you will have to postpone it for several hours. After the first urge to empty the bladder appears, you should immediately notify the doctor, who will begin performing TRUS of the prostate.

After the study is completed, you need to immediately go to the toilet, since under no circumstances should you store urine in a bladder. Otherwise, an infection may begin to develop in it, especially if the patient’s immune system is weakened - then bacteria will penetrate the body very quickly, because stagnant urine is an excellent place for the proliferation of pathogenic microflora.

Source: https://prostatit-stop.ru/kak-podgotovitsya-k-truzi-predstatel-noy-zhelezy-2/