How is ultrasound of the prostate, the rules of preparing for the procedure and interpretation of results
Ultrasound examination of organs and tissues of the human body is firmly established in this area of medicine, as diagnosis. Not remained aloof and urology, with the help of ultrasound, doctors are able to put the correct diagnosis and appoint adequate treatment of urogenital diseases. Stands out on the background of ultrasound of the prostate.
This method of diagnostics allows to detect and treat various diseases of the prostate and adjacent organs.
Distinguish between transabdominal (through the anterior wall of the peritoneum) and transrectal (rectal) ultrasound of prostate. As an additional method of ultrasound can be done via the perineum. Interpreting the results of ultrasound diagnosis is done by a urologist.
This method of diagnosis is the most accessible and does not cause any difficulties for the patient or the doctor. The study is made through the abdominal wall men. Contraindications this method, but some restrictions may apply:
- postoperative wound;
- drainage tube;
- insufficient filling of the bladder.
Despite the simplicity of manipulation, it requires some training. Otherwise ultrasound would be performed. So how to prepare for a prostate ultrasound? On reception to the expert, the man must be with a full bladder. The latter are filled with liquid, plays the role of a lens through which the ultrasound, and helps to consider the body.
It is enough to before the procedure, somewhere an hour before it, drink a liter of water to feel a weak urge to urinate. It is very important to correctly calculate time, otherwise, if the content is weak, the ultrasound will be delayed until the complete filling. If the bladder overflows, the male will become very uncomfortable during the movement of the device in the abdominal wall.
The course of manipulation
Transabdominal ultrasound of the prostate is a special sensor. The patient lies on the couch. Analog deals in ultrasound scanner and to the anterior abdominal wall of men with a special gel that facilitates the sliding of the sensor on the skin and eliminate a layer of air. This layer can distort the image and affect further decoding.
The scanning is performed in the longitudinal and transverse planes. If you need to consider in more detail certain parts of the body, the specialist can move the scanner at random. At the same time conduct research and ultrasound of the bladder through the perineum.
On average, the procedure lasts about 10 minutes. To determine residual urinethe patient is asked to urinate and ultrasound again. This technique will allow you to determine how much urine remains in the bladder after emptying. The norm of this indicator is 50 milliliters.
The results of the survey, as a rule, be given immediately. In addition to data on the prostate, the doctor can provide a few images of the prostate for more accurate diagnostics. The procedure should only be performed by a specially trained technician. Interpreting the results of the ultrasound, the work of qualified specialists. Something tell analog during or after the inspection of the authority, and more information about the results of the treatments and the transcript will be provided by the urologist. If the answers ultrasound is normal, then the doctor will say so, otherwise prescribe appropriate treatment.
Transrectal ultrasound of the prostate differs from transabdominal fact that the sensor is inserted into the anus of the patient. These reach their maximum proximity to the object under study, allowing to obtain more sharp image. The quality of diagnosis increases several times and, accordingly, improves the accuracy of diagnosis of diseases. Price on rectal ultrasound transabdominal higher, but it's worth it, as the review body at times better and the decoding is much more accurate, though requires some training.
Some research centers indicate in their brochures that the preparation for transrectal ultrasound of the prostate is not required. But still, as the procedure is done rectally, for hygienic purposes before it is to do a cleansing enema. Do not have to use special tools in prescription enema, containing a special drug. It causes softening of the stool and accelerates intestinal peristalsis, making defecation soft and less traumatic.
A couple of days before the procedure to exclude from the diet foods that stimulate flatulence. The night before should take any sorbent. Transrectal ultrasound is done on an empty stomach. In some cases, the doctor may ask to take a liter of still water, which will need to drink an hour before the examination.
And the most important training for the men will be psychological. Since the manipulation is done rectally, the nervous strain can be very difficult to deliver ultrasound and discomfort. Of course, a certain amount of nervousness is normal, since the rectal examination, and for many men it is a sore subject, but dramatic is not necessary, after all we are talking about medical procedures. Therefore it is recommended that before the process to take any sedatives.
The course TRUS
Ultrasound of the prostate will need to seize a condom forThe ultrasound scanner. Manipulation is absolutely painless and with the right attitude will not cause discomfort. The process takes about 20 minutes.
It is done like this:
- At home after special training, the patient goes into the office and, at the suggestion of the doctor or assistant is exempt from the clothing of the lower part of the body.
- The patient lies on the couch on his right side with bent knees and hip joints feet.
- Specialist sensor puts on a condom, gets a special gel and insert it rectally to a depth of 5-7 cm. The sensor size is small, and it won't hurt.
- The doctor examines and gives to hands conclusion.
Transcript ultrasound of the prostate is only done by a urologist or an andrologist, as these results depends on the quality of treatment. The diagnosis is influenced by the size of gland, its contours, echogenicity, and other factors. It is worth to take a closer look, looks like a norm and what changes indicate pathology.
|Normal values and deviations|
|№p/p||Indicators||The norm||Decoding results|
|1||The contours||Smooth, clear and balanced||The lack of symmetry of the prostate may indicate a neoplasm. The fuzzy contours occur with prostatitis.|
|2||Structure||Uniform||Adenomatous nodes found in the process of ultrasonic diagnostics indicate adenoma. Cavity, calculi, lesions with reduced echogenicity indicate the emergence of diseases such as cysts and stones in the prostate, abscesses, chronic prostatitis and other diseases.|
|3||Size||The anteroposterior size: 1,5-2,5 snoberry size: 2.7-4.2 V certainy size: 2.4 to 4.0 Cobham (calculated by formula): up to 25 cm||The increase in size of the prostate is not the norm, and they often an indication of benign prostatic hyperplasia (BPH or appearance of a malignant tumor in her|
|4||The volume of residual urine||Allowable rate – 15 ml||Indicators which residual urine is higher than normal, tell about violations in the urinary tract. In some cases, may require additional tests.|
If the ultrasound results are written such phrases as "ECHO signs of diseases it is not revealed", it is nothing to worry about, prostate is healthy. Rectal or transabdominal prostate ultrasound examination is done not only for the elite, which can be completed in any medical facility. Such service is providedand diagnostic centres. Some of them are attached to the rectal ultrasound and training.
The cost of ultrasound of the prostate varies from 300 to 2000 rubles, depending on the method of ultrasound, the expert's qualifications, and its price will depend on these factors. But remember that proper interpretation of results ultrasound ‒ the first step to recovery.