TRUS: what kind of examination and how to prepare for it?

It's not a secret that one of the most common diseases in men is prostatitis. But in order for the disease not to progress and to avoid such negative consequences in the future as adenoma or infertility, it is necessary that the treatment be started on time. And only the correctly diagnosed diagnosis of this organ can help in this. And since progress does not stand still, a new TRUS (transrectal examination of the prostate gland) appears to replace an ordinary ultrasound study .

TRUS: what is it?

To understand what this survey represents, we will start with the very sources of its origin, namely, with ultrasound. Ultrasound, or, as it is also called, sonography, forms a picture of organs located inside the body, using a high-frequency ultrasonic wave. A feature of this study is that it completely lacks radiation. In addition, it should be borne in mind that since this examination takes place in real time, it transmits to the monitor screen not only the structure of the organ, but also shows the movement of blood that passes through the blood vessels. Therefore, taking into account all the above, it can be concluded that TRUZI is a completely non-invasive medical examination that allows you to clarify the cause of the disease, the condition of the prostate and its glands, and to prescribe adequate treatment.

Benefits

To date, this type of examination is one of the fundamental standards in ultrasound examination of the prostate. Its difference from a standard ultrasound examination is that the probe will be as close as possible to the organ itself, which will allow obtaining the most accurate and reliable information.

Answering the question: "TRUSY examination - what is it?", There are several other advantages. They include:

• Its high availability and informativeness.
• Safety, as during this research the use of ionizing radiation is completely excluded.
• Practically complete absence of contraindications and negative consequences, which allows to apply it unlimited number of times.

In addition, with this examination, it is possible to perform a biopsy, that is, take a small sample of cells for further investigation.

Indications

TRUZI prostate gland by virtue of its specificity can be used in patients with excessive fatty deposits in the abdominal region, because with transabdominal examination (through the abdomen), there will be certain difficulties associated with the passage of the signal through fatty tissue.

Also to one of the most frequent indications for carrying out TRUZI include:

• Determination of the presence of possible pathologies.
• Determination of the size of the prostate gland, which is one of the necessary elements of the appointment of an effective treatment regimen.
• Conducting diagnostic measures associated with the detection of abnormal neoplasms within the prostate.
• Male infertility.

What symptoms can cause this test?

Also TRUZI prostate is used in conjunction with the following symptoms:

• Suspected prostate cancer.
• Increased PSA.
• Difficulty urinating.
• Constant sensation of overflow of the bladder.
• Serious abnormalities in blood and urine tests.
• A variety of pain in the perineal region.
• Detection of seals in the prostate, detected by her palpation.

Survey of TRUS: preparation and recommendations

As practice shows, for the most accurate information obtained with the help of this survey, preliminary preparation of the patient is necessary. It should begin with the exception of its diet products, which can cause increased formation of gases. These include beans, peas, cabbage, pastries from yeast or pasta. In addition, you should maximally restrict the intake of fresh fruits (grapes, plums, green apples), as well as highly carbonated drinks and alcohol. To prepare for TRUSI prostate was as complete as possible, you need to include in your menu boiled chicken, fish, cooked vegetables, soup and liquid porridge.

It is especially important that in the evening the meal is not later than 18. Further, after an hour or an hour and a half has passed, it is necessary to take activated charcoal, calculating its quantity based on 1 tab. For 10 kg of weight. If desired, you can use stronger sorbents instead of activated charcoal (preparations "Polyphepan", "Polysorb"), which you need to take strictly according to the instructions.

In addition, to TRUS, the preparation consists in carrying out a cleansing enema. Also it is especially worth noting that in the morning it is strictly forbidden to eat, only a few sips of water are allowed. Be prepared for the doctor to ask you to bring a condom with you to the examination, which is best bought for transrectal ultrasound.

As practice shows, most men need special psycho-emotional preparation. It is scientifically proven that any emotional experience, such as fear, can cause severe painful sensations throughout the procedure. Therefore, if you can not calm down in the traditional way, you can take a mild sedative. As an example, you can bring the "Persen" or "Novopassit".

What does the device for carrying out TRUS look like?

To better understand how the TRUSS are doing, let's look at how this device looks. The scanner itself includes a console, which includes a computer, a video screen and the sensor itself, used to examine the condition of internal organs and vessels. Also one of the most important components of this device is a transducer, sending sound waves with a high frequency into the body and taking them back. The ultrasonic image can be seen on the screen, located near and in its appearance resembling a TV screen.

How is the examination?

As a rule, TRUS is a test that lasts no more than 15-20 minutes. It starts with the fact that the patient is asked to lie on his left side, press his knees to his chest and try to relax. After this, the doctor puts on a condom on the transrectal sensor and lubricates it with a gel. Next, it is very gently introduced into the rectum. The maximum depth can be up to 7 cm, but in this case, as a rule, the patient completely lacks any pain or pain.

During the prosthesis, the sensor through the rectal wall sends special signals followed by a scan of the response picture. Fears should trigger signals that signal that the prostate is enlarged in size, has a heterogeneous structure and fullness of the arteries or veins. All nuances are recorded in the study protocol with further transfer to the treating doctor.

After the TRUSI prostate is completed, the expert conducts a study of seminal vesicles. Normally, they should be with a homogeneous structure and echogenicity (the so-called ability of tissues to reflect sounds). In addition, fears can also cause an expansion of the lumen of the vesicles, but this phenomenon can also be observed in the case of prolonged abstinence. Therefore, the patient must either confirm or deny this point.

What are the sensations during the procedure?

As practice shows, all ultrasound examinations performed in the open area of the body, practically do not cause any inconvenience. Therefore, if there is no need for a biopsy, the sensations from conducting a TRUS will be similar to the standard ultrasound procedure. If there is a need for a biopsy, small unpleasant sensations are possible, but they tend to disappear quickly.

When is TRUSI contraindicated?

We have already told you what TRUZI examinations are, that this is a painless and painless study. But here there are certain limitations, in which its conduct is impossible. This category includes men with a rectum, which causes a certain difficulty with the introduction of the probe. In addition, this procedure is not recommended for patients with hemorrhoids in the acute phase. But considering that the percentage of men with such a problem is very small, we can safely say that there are no contraindications for conducting TRUS.