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Prostate Ultrasound With Biopsy

Prostate ultrasound with biopsy is an examination aimed at drawing up a diagnosis in relation to the state of the prostate following the manifestation of certain disorders including urination difficulties, a feeling of incomplete emptying of the bladder, burning, etc.

ultrasound-with-biopsy

This diagnostic test is invasive in that the prostate gland is located behind the bladder and needs to be examined to make it visible to the ultrasound system through a cannula that fits into the anus.

The reasons why prostate ultrasound test in Delhi is required with biopsy are different and among these are the high PSA values, the early diagnosis of prostate cancer, the control that is generally carried out after the age of 50 for preventive purposes, to investigate the possible causes of infertility in which prostatic activity is also connected.

The biopsy, that is the taking of a small quantity of tissues to be analysed histologically, becomes necessary when the presence of cells that could lead to a diagnosis of cancer is suspected, following the alteration of the value relative to the PSA, an acronym that is for "prostate specific antigen", but also after observing new growths during a rectal exploration.

Before the prostatic ultrasound with biopsy it is necessary that the patient prepares in time and in this he is followed by the urologist. It is necessary to take antibiotic therapy against potential infections in biopsy a few days before and suspend all those drugs that could interfere with blood coagulation. The suspension times are always related to the dispositions of the urologist in relation to the age and the concomitant pathologies presented by the same patient.

For the particularity of the execution of the prostate ultrasound test in Delhi it is good to have the bladder full that is to avoid going to the bathroom at least an hour before, and not to be fasting. The best view of the prostate requires that the canal be cleaned of any remaining stools. To do this it is necessary to perform an enema at least 3 hours before the diagnostic examination or, alternatively, to use glycerine suppositories both the previous evening and in the morning.

Of course, while this test is taking place, the patient will be naked and curled up in a foetal position with the legs drawn towards the chest.

Prostate ultrasound with biopsy involves local anaesthesia that affects both the superficial tissues and the area near the prostate so that the patient feels the least discomfort possible. The anesthetic is injected into the perineal area between the anus and the scrotum and in the following days it is possible for a small hematoma to appear which is reabsorbed within a short time.

Prostatic ultrasonography with biopsy is then carried out transrectally, then introducing a suitably covered probe with a latex glove sprinkled with a lubricating gel liquid, which relieves discomfort in the walls of the rectum.

For biopsy with a prostate ultrasound first the doctor performs a manual rectal inspection and then uses a thin catheter through which a sort of needle is inserted that will take the tissues to be analyzed in various areas of the gland, so as to have a significant sample. All this in conjunction with ultrasound that serves to visualize the affected area.

FAQ About Prostate Ultrasound

When for clinical purposes it is necessary to verify and monitor the health conditions of the prostate gland, it is essential to rely on a prostate ultrasound. This diagnostic test is performed by an ultrasound probe, and allows to identify any changes due to an ongoing disease. The pathological processes, in fact, can alter the size of the gland, but also its shape.

prostate-ultrasound-faq

How to perform prostate ultrasound

To carry out prostate ultrasound scans, an ultrasound probe of appropriate size is needed, bearing in mind that this is an examination that is carried out transrectally. In other words, the probe is inserted into the rectum, and allows images on high-frequency sound waves to be displayed on a connected screen.

The examination itself is not painful, but it is still possible to feel a certain discomfort or a particular discomfort when the probe is introduced into the rectum. The ultrasound scan is based on images that are provided in real time by devices that are equipped with transducers capable of optimizing ultrasound tissue penetration, by virtue of specific frequency ranges of these ultrasounds. At the end of the ultrasound study, the images that have been generated are recorded in digital format so that they can become part of the patient's medical record.

How to prepare for a prostate ultrasound?

Prostate ultrasound test in Delhi, therefore, is a very important exam: also for this reason it is essential that it be carried out by a professional with proven competence. The most suitable specialist to deal with is the medical radiologist. The patient is made to lie down on a bed on one side, usually the right one, and is invited to assume a fetal position, with the knees flexed. Before the probe is inserted, the doctor takes care of performing a rectal exploration with the fingers, also to track down any mechanical impediments that could make the introduction difficult.

How long does a prostate ultrasound last?

It takes at most ten minutes to complete a prostate ultrasound, which also has the merit of guaranteeing an instant report. The only shrewdness required of the patient consists in undergoing, more or less 3 or 4 hours before the examination, an enema, so that during the investigation the rectal ampulla is completely empty. Instead, the bladder must be full: for this reason the patient must not pee before the exam, while he is invited to drink a lot, as long as he avoids fizzy drinks. It should be kept in mind that, with bleeding hemorrhoids or anal fissures, an ultrasound cannot be performed.

Why we need a prostate ultrasound?

With prostate ultrasound test in Delhi it is possible to verify that the gland is in an optimal state of health. The ultrasound scan, therefore, can be carried out as a control test, in normal conditions, or to proceed with assessments made necessary by the finding of specific symptoms, such as a benign prostatic hypertrophy or prostatitis. Sometimes, it may happen that a digito-rectal control exam raises doubts about the condition of the gland, and therefore causes an ultrasound to be requested.

How often should you undergo a prostate ultrasound?

Transrectal prostate ultrasound in elderly men should be considered a routine examination, and should therefore be performed on a regular basis. For young people, however, it is only necessary if there is a concrete suspicion. As we have said, the examination serves to find possible changes in the gland, perhaps early: it is not certain that a normal urological clinical examination will make it possible to verify these alterations, just as one cannot rely solely on the symptomatology, which in most cases of the cases is non-specific, if not absent. Sometimes, the prostate increases in size following an inflammatory prostatitis that may have been caused by drug therapy.

When To Have Your Prostate Examined?

The ultrasound is a medical imaging technique based on the use of ultrasound, by which we can "see" inside the body. The ultrasound of the prostate, the gland just below the bladder in men and participating in the production of sperm, can be done in two ways:

For suprapubic: externally, by placing the probe above the pubis

By the endorectal route: internally, by introducing the probe into the rectum. Prostate ultrasound test in Delhi by the endorectal approach is more precise and allows to obtain a better image of the prostate. It also makes it possible to evaluate more precisely the volume of the gland as well as its "texture" and that of the accessory glands (seminal vesicles).

There are three major diseases of the prostate:

Prostatitis is an infection of the prostate. This infection occurs most often in young men;

If the prostate becomes too big, this disease is called adenoma of the prostate (adenoma means an abnormality of a gland) or benign prostatic hypertrophy (hypertrophy means excessive volume increase of an organ). In everyday language, men who have problems urinating because their prostate is too big and compresses the urethra say "I have prostate";

Finally, prostate cancer is common, especially after the age of 50. But it is not necessarily serious if it is detected early enough.

Why have an endorectal ultrasound?

Ultrasonography is a painless, non-invasive examination and is therefore first-line when the doctor suspects an abnormality in the prostate.

This can be the case:

After a rectal examination highlighting an abnormality (mass or hypertrophy) of the prostate

In the case of urinary symptoms (frequent urge and emission of a small amount of urine, pain during urination, urinary tract infection, difficulty urinating, etc.)

In the case of dosing showing an abnormal value of PSA (prostate antigen)

To diagnose benign prostatic hypertrophy (BPH)

To guide the doctor when performing a biopsy and to help him visually detect suspicious areas to better target specimens

In addition to biopsies, ultrasonography is mainly used to assess prostatic volume, which tends to increase with age, which can lead to urinary discomfort (benign prostatic hypertrophy).

Examination

Ultrasound involves exposing the tissues or organs that one wishes to observe to ultrasonic waves. It does not require any preparation or anesthesia. For endorectal ultrasound, an elongate (pencil-shaped) probe is used, covered with a condom, and lubricated. It is inserted shallow into the anus, the patient lying on his side, knees bent.

If a biopsy is performed at the same time, the doctor introduces a needle into the prostate, through the wall of the rectum, guided by ultrasound.

What results can be expected from an endorectal ultrasound of the prostate?

Whether it is to perform biopsies or to evaluate prostate volume, prostate ultrasound test in Delhi helps to diagnose prostate conditions, such as cancer (through biopsies) or benign prostatic hypertrophy. The choice of treatment will depend on the diagnosis but also the age of the patient, different risk factors, etc. In the case of hypertrophy of the troublesome prostate, several drugs may be prescribed, including alpha-blockers and phytotherapy products.

Definition Of Prostate Ultrasonography By Endorectal Approach

The ultrasound is a medical imaging technique based on the use of ultrasound, by which we can "see" inside the body. The ultrasound of the prostate, the gland just below the bladder in men and participating in the production of sperm, can be done in two ways:

For suprapubic: externally, by placing the probe above the pubis

By the endorectal route: internally, by introducing the probe into the rectum

Prostate ultrasound test in Delhi by the endorectal approach is more precise and allows to obtain a better image of the prostate. It also makes it possible to evaluate more precisely the volume of the gland as well as its "texture" and that of the accessory glands (seminal vesicles).

Why have an endorectal ultrasound?

Ultrasonography is a painless, non-invasive examination and is therefore first-line when the doctor suspects an abnormality in the prostate.

This can be the case:

  • After a rectal examination highlighting an abnormality (mass or hypertrophy) of the prostate
  • In case of urinary symptoms (frequent urge and emission of a small amount of urine, pain during urination, urinary tract infection, difficulty urinating, etc.)
  • In case of dosing showing an abnormal value of PSA (prostate antigen)
  • To diagnose Benign Prostatic Hypertrophy (BPH)
  • To guide the doctor when performing a biopsy and to help detect visually suspicious areas to better target specimens

However, endorectal ultrasound has no place in the diagnosis of prostate cancer because it is too inaccurate.

In addition to biopsies, ultrasonography is mainly used to assess prostatic volume, which tends to increase with age, which can lead to urinary discomfort (benign prostatic hypertrophy).

Examination

Ultrasound involves exposing the tissues or organs that one wishes to observe to ultrasonic waves. It does not require any preparation or anesthesia.

For endorectal ultrasound, an elongate (pencil-shaped) probe is used, covered with a condom and lubricated. It is inserted shallow into the anus, the patient lying on his side, knees bent. If a biopsy is performed at the same time, the doctor introduces a needle into the prostate, through the wall of the rectum, guided by ultrasound.

What results can be expected from an endorectal ultrasound of the prostate?

Whether it is to perform biopsies or to evaluate prostate volume, ultrasound clinics helps to diagnose prostate conditions, such as cancer (through biopsies) or benign prostatic hypertrophy. The choice of treatment will depend on the diagnosis but also the age of the patient, different risk factors, etc.

In the case of hypertrophy of the troublesome prostate, several drugs may be prescribed, including alpha-blockers and phytotherapy products (African plum or pygeum, saw palmetto).

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