What TRUI sees
The doctor evaluates the peripheral zone (where 70–80% of prostate cancer occurs) for hypoechoic foci and symmetry, accurately measures the volume of the gland and adenomatous nodes (important for choosing an operation - TUR or adenomectomy), identifies calcifications and stagnation in chronic prostatitis, cysts and dilation of the seminal vesicles in infertility and hemospermia. A targeted biopsy of the prostate is performed under TRUS guidance. The study complements, and does not replace, PSA and MRI: for suspicious lesions, multiparametric MRI is prescribed, followed by a biopsy.
Indications
- increased PSA, compaction during digital examination - detailed assessment and marking before biopsy;
- acute and chronic prostatitis - structure, calcifications, abscess;
- adenoma - the exact volume of the gland before surgery;
- infertility - seminal vesicles, cysts, duct obstruction;
- control after treatment.
Why ultrasound
Ultrasound is a safe imaging method without radiation: suitable for children, pregnant women and for repeated monitoring. The doctor sees organs in real time, assesses their structure, size and blood flow (in Doppler mode), and a conclusion with measurements is issued immediately after the study. The information content depends on the training and experience of the specialist; In the clinics below, ultrasound examinations are performed by ultrasound diagnostic doctors using expert-class devices.
