For men who have received the recommendation to have a TRUS, or Transrectal Ultrasound, examination, the anxiety met often is usually connected with pain, with privacy, and with concerns about an examination through the anus. This article explains TRUS straightforwardly, both from the point of view of medicine and from the experience of the one receiving the examination, so that the steps are understood and preparation can be made confidently before coming in for the service at PYONG MEN

What is TRUS

Transrectal Ultrasound (TRUS) is an ultrasound examination through the anus, using a small examination head to send high-frequency sound waves in to assess the structure of the prostate gland and the system of blood circulation in the deep part of the pelvic floor, which lies near the wall of the end part of the large intestine

This form of examination helps the physician see the image of the target organ at a closer range than an examination from outside, so it suits a case where deep information about the prostate gland and the structures at the area of the pelvic floor is wanted

What does TRUS assess

At PYONG MEN, TRUS in the form of Transrectal Color Doppler Ultrasonography is used in order to

Assess the structure of the prostate gland and the system of blood circulation in the pelvic floor
Search for a state of congested blood or fibrous tissue that may be hidden
Support the assessment of a state of chronic pain in the pelvic floor (CPPS) that does not arise from a bacterial infection

Does TRUS hurt

TRUS is an examination that many men may be anxious about before coming in for the service. Generally it is an examination that does not take long, and the feeling during the examination is usually at a level that the one receiving the examination can bear

The examination uses sound waves, so it does not give rise to pain from the energy used. The examination head is small in size and designed for medical examination. The medical team explains the steps at each period clearly, and cares for privacy throughout the examination

The physician may consider sending for a TRUS examination when there are symptoms such as

Chronic heavy pain at the area of the perineum or the testicles
Pain during or after the ejaculation of sperm that does not go away when treated according to other approaches
An abnormality in passing urine that needs an assessment of the structure of the prostate gland
A suspicion of fibrous tissue or a state of congested blood in the pelvic floor that an examination from outside may not cover

The assessment usually done together with TRUS

In a case where there is a state of chronic pelvic floor pain, or Chronic Pelvic Pain Syndrome (CPPS), the symptoms usually do not arise from a single factor, but may be connected with the muscles of the pelvic floor being held tense, hidden points of pain (Trigger Points), the sensitivity of the peripheral nerves, a state of congested blood, or an abnormality of the prostate gland that is hidden. The assessment therefore usually does not stop at TRUS alone, but may include palpation to find hidden points of pain, the assessment of the tightness of the muscles of the pelvic floor, and in some cases there may be an examination of the flow of urine (Uroflowmetry) as well

An assessment in several dimensions helps the physician see the overall picture of the mechanisms concerned more clearly, before laying out a plan of care that suits the cause of the symptoms in each individual, instead of care based on the symptoms of pain alone

Privacy and the experience of the one receiving the examination at PYONG MEN

PYONG MEN designs the experience of the examination by giving importance mainly to the privacy of the one receiving the service. The TRUS examination is carried out in a specific examination room, under the care of a skilled physician, together with clear communication before, during, and after the examination

In short summary

TRUS is the ultrasound examination of the prostate gland and of the deep part of the pelvic floor through the anus
It is used to assess the structure of the prostate gland and the system of circulation, and to search for a state of congested blood or fibrous tissue that is hidden
Generally it does not give rise to pain that the one receiving the examination cannot bear
It suits the assessment of CPPS and chronic symptoms of the pelvic floor for which an examination from outside is not enough
At PYONG MEN it is carried out in a private examination room under the care of an expert physician

Frequently asked questions (FAQ)

1. Does TRUS take long? Generally the examination does not take long. The medical team informs of the length of time expected before the step begins

2. How must preparation be made before the examination? The recommendations for preparation, such as the matter of food and of preparing the bowel, are given by the medical team before the day of the appointment, so that the examination goes as smoothly as possible

3. How does TRUS differ from ultrasound in general? TRUS sends sound waves through the wall of the end part of the large intestine, making it possible to come closer to the prostate gland and to the deep part of the pelvic floor than an examination through the skin

4. Whom does TRUS suit? Generally it is considered in those who have symptoms of chronic pelvic floor pain, symptoms of the prostate gland, or a suspicion of fibrous tissue / a state of congested blood that needs a close assessment

5. After the examination, can normal life be lived or not? Generally it is possible to go back to living normally immediately after the examination. If there is a specific recommendation, the medical team gives it before you go back