Transrectal Ultrasound of the Prostate

Candidates for a transrectal ultrasound of the prostate include: Men with elevated levels of prostate-specific antigen (PSA) in the blood. Men with abnormal digital rectal exams (DRE) indicating potential prostate issues. Men with symptoms of urinary problems, such as frequent urination, difficulty starting urination, or a weak urine stream. Men with a family history of prostate cancer. Men suspected of having a prostate infection or inflammation.

Preparation for a transrectal ultrasound of the prostate includes: Enema: Patients are often advised to use an enema before the procedure to empty the rectum and provide a clearer view. Informing the Doctor: Patients should inform the doctor about all medications they are taking, especially anticoagulants or blood thinners. Fasting: In some cases, patients may be advised not to eat for several hours before the procedure.

The procedure for a transrectal ultrasound of the prostate generally includes the following steps: Arrival at the Clinic or Hospital: The patient arrives for the scheduled procedure. Patient Preparation: The patient lies on their side with their knees drawn up to their chest. Inserting the Probe: The doctor carefully inserts a probe coated with gel into the patient's rectum. Imaging: The probe emits sound waves and creates images of the prostate that are displayed on a screen in real-time. Analysis: The doctor analyzes the images and, if necessary, may take tissue samples (biopsy) from the prostate.

Results of a transrectal ultrasound of the prostate may include: Normal Prostate: The prostate appears normal in size, shape, and structure. Abnormalities: Detection of abnormalities such as an enlarged prostate, cysts, tumors, or other issues. Biopsy: If tissue samples are taken, biopsy results can help diagnose prostate cancer or other conditions.

Discomfort: The procedure may be uncomfortable but is usually not painful. Bleeding: There is a small risk of bleeding, especially if a biopsy is performed. Patients should inform their doctor if they notice significant bleeding. Infection: The risk of infection is low, but patients may be advised to take antibiotics before and after the procedure to reduce the risk. Post-Procedure Monitoring: The patient may be monitored for a short time after the procedure to check for signs of complications.