Overview

TRUS or Transrectal Ultrasound is a state-of-the-art imaging technique, especially for imaging the prostate gland and surrounding tissues, which requires a tiny ultrasound probe inserted into the rectum of the patient to develop explicit pictures, helping in the assessment of prostate size, detection of abnormalities, and guidance during biopsy procedures. TRUS plays a vital role in diagnosing prostate-related disorders, including benign prostatic hyperplasia (BPH), prostatitis, and prostate cancer.

What is TRUS - Transrectal Ultrasound?

TRUS uses high-frequency sound waves to produce real-time images of the prostate and adjacent structures. The procedure allows urologists to:

  • Measure Prostate Size – Useful in planning treatment for BPH.
  • Detect Abnormalities – Such as nodules, cysts, or suspicious lesions.
  • Guide Prostate Biopsy – Ensures accurate sampling for cancer diagnosis.
  • Evaluate Seminal Vesicles – Helps in fertility assessments and diagnosing ejaculatory duct obstruction.

Why is TRUS Needed?

  • Elevated PSA Levels – To rule out prostate cancer or other abnormalities.
  • Prostate Enlargement Symptoms – Difficulty urinating, weak urine flow, frequent urination.
  • Fertility Investigations – For men with suspected seminal vesicle or ejaculatory duct issues.
  • Guided Biopsy – When a prostate biopsy is required to confirm cancer.
  • Unexplained Pelvic Pain – To detect the structural problems in the prostate or adjacent areas.

Before the Test: How to Prepare

  • Bowel Preparation – Doctors may switch to a mild enema or laxative to clear the rectum.
  • Empty Bladder – Usually required unless instructed otherwise.
  • Medication Disclosure—Inform your doctor about blood thinners or anticoagulants, as they may need immediate cessation if a biopsy is to occur.
  • Consent – You will get plenty of information about the procedure for your permission.

What Happens During TRUS?

  1. Positioning – You must lie on your side with your knees slightly bent.
  2. Probe Insertion – A lubricated ultrasound probe of a finger size is needed, which enters the rectum.
  3. Image Capture – The probe emits sound waves, creating images of the prostate and surrounding tissues.
  4. Biopsy (if required) – Doctors take a tissue sample using a needle guided through the ultrasound images.

The procedure usually takes 15–30 minutes and is generally well tolerated.

After the Test: What to Expect

  • Mild Discomfort – Temporary rectal discomfort or slight blood spotting in stool or urine may occur, especially after biopsy.
  • Resuming Activities – You can return to normal activities immediately unless a biopsy becomes essential.
  • Result Interpretation – The urologist reviews images to identify abnormalities and plan next steps.

Benefits & Risks

Benefits

  • Highly accurate visualisation of prostate anatomy.
  • Essential for prostate cancer detection and biopsy guidance.
  • Quick and relatively painless procedure.

Risks

  • Mild discomfort or rectal irritation.
  • If a biopsy happens, there is a slight bleeding risk and a rare risk of infection (antibiotics may minimise this).
  • Infrequent complications like urinary retention.

Recovery

  • Most patients resume their routine immediately.
  • After a biopsy, the patients must take precautionary measures, like avoiding trying/strenuous activities for the next 24 to 48 hours.

Precautions

  • Complete the prescribed antibiotics if a biopsy happens.
  • Report fever, severe pain, or persistent bleeding to your doctor immediately.

FAQs on TRUS

1. Is TRUS painful?

TRUS is generally not painful, though you may feel mild discomfort during probe insertion.

2. How long does the procedure take?

Typically, the test takes 15–30 minutes.

3. Can TRUS detect prostate cancer?

TRUS can detect suspicious areas, but a biopsy guided by TRUS is necessary to confirm cancer.

4. Do I need anaesthesia for TRUS?

Generally, anaesthesia is necessary, but local anaesthesia may become important if a biopsy is on the cards.

5. How soon will I get results?

The doctors discuss preliminary findings instantly, while biopsy results (if taken) may take a few days.

Why choose Tender Palm Super-Speciality Hospital for TRUS - Transrectal Ultrasound in Lucknow, India?

Tender Palm Super-Speciality Hospital is one of the best hospitals for Transrectal Ultrasound in Lucknow, India. Our expert urologists use advanced tools to give accurate results, quick diagnosis, and better long-term care. We offer the best evaluation and treatment support with effective and affordable pricing, making the Transrectal Ultrasound cost suitable for patients seeking high-quality urology care in Lucknow, India.

To seek an Expert Consultation for TRUS - Transrectal Ultrasound in Lucknow, India:

Call us at +91-9076972161
Email at care@tenderpalm.com

Request an Appointment
Mon - Sat 9:00 AM to 6:00 PM IST

Our Experts

Dr. Feroz Moh. Khan
Dr. Feroz Moh. Khan
Associate Director - Urology

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