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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.

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