The prostate gland is located in the pelvis between the anterior wall of the rectum and the urinary bladder. Examination of the prostate gland is of paramount importance in the diagnostics of prostatitis, adenoma, prostate cancer, impaired urination and many other diseases.
A highly informative component of the overall and integrated assessment of men’s health is an ultrasound examination of the prostate gland.
Ultrasound is used to confirm or exclude prostate pathologies, urinary tract disorders, benign prostatic hyperplasia (adenoma, BPH – Benign Prostatic Hyperplasia) and decreased erectile dysfunction.
The prostate gland may increase in size, especially after 50 years, so at such an age it is necessary to visit a doctor on a regular basis. In recent years, prostate cancer has been increasingly found in older men, which also requires constant monitoring.
An ultrasound examination of the prostate is prescribed at suspicion of its disease. There are two types of ultrasound examination of the prostate:
♦ abdominal ultrasound;
♦ rectal ultrasound.
To perform an abdominal ultrasound of the prostate, it is necessary to fill the bladder 1-2 hours before the procedure. In this case, the study is conducted through the abdominal wall. The patient during the procedure is on the back.
Rectal ultrasound involves the insertion of a sensor through the rectum, although bladder filling is not required. On the eve of the study, light dinner is recommended and a bowel cleansing prior (for example, “Macrogol”) is recommended. During , the procedure the patient lies on the left side, bending his knees.
Transrectal ultrasound makes it possible to visualize the smallest changes in the prostate, because the probe is located in close proximity to the prostate gland.
Indications for ultrasound examination of the prostate gland:
♦ inflammation of the prostate (the patient feels pain in the lower abdomen, discomfort, burning, painful urination, discharge from the urethra);
♦ changes in blood and urine tests;
♦ pathology, which was determined by digital rectal examination;
♦ detection of deviations in spermogram (sperm analysis);
♦ clinical manifestations of renal failure;
♦ Prostate ultrasound should be done when infertility is diagnosed.
The highest informative level of ultrasound can be achieved with the help of the latest generation of ultrasound scanner equipped with a high-frequency two-dimensional sensor. Such a sensor allows the most detailed consideration of the structure of the prostate gland. In the process of such an ultrasound examination, in addition to the prostate, the condition of the seminal vesicles, bladder, rectum, pelvic muscles, etc., is evaluated.