Ultrasound of the prostate

Prostate ultrasound is performed in two ways: transabdominally – through the anterior abdominal wall, and transrectally – through the rectum. The first method is considered simpler and more comfortable, but it provides limited information, particularly if the patient is overweight or the doctor needs to assess the condition of the tissues in detail. Therefore, when a truly informative prostate ultrasound is required, urologists often opt for the more accurate transrectal method.

This is precisely why at our Avicenna Med clinic in Kyiv, at 48 Degtyarivska Street, TRUS is considered the “gold standard”. A thin probe is inserted via the rectum, allowing the specialist to see the organ’s contours, dimensions and structure with maximum clarity, identify any changes and provide a detailed report immediately after the procedure. If you need a prostate ultrasound Kyiv with a focus on accuracy and rapid interpretation of the results, this diagnostic method is considered the most informative.

Warning signs: when should a man book a TRUS?

Men often put off getting checked, hoping that the discomfort will go away on its own. But if you’re experiencing frequent urges to go to the toilet, especially at night, discomfort when urinating, or a nagging pain in your lower abdomen, it’s best not to wait for your condition to get worse. In such cases, a prostate ultrasound helps to determine whether the problem is related to inflammation, an enlarged prostate, or other changes that require medical attention. A TRUS is usually recommended for the following symptoms:

•       frequent urge to urinate, especially at night;
•       pain, burning, or significant discomfort when urinating;
•       decreased sexual potency;
•       pain in the perineum and lower abdomen;
•       frequent constipation;
•       detection of lumps on palpation during a consultation with a specialist.

To save you time searching for different specialists, our Avicenna Med clinic offers a consultation with a urologist, providing you with a clear plan for further diagnosis straight away. If the doctor needs to clarify the condition of the organ and see the full clinical picture, they may arrange a prostate ultrasound Kyiv to quickly confirm their suspicions and determine the next course of treatment.

What conditions can a prostate ultrasound detect?

When a doctor needs to understand the exact cause of a patient’s symptoms, a prostate ultrasound becomes one of the most informative stages of diagnosis. TRUS allows the doctor to assess the size, contours and internal structure of the organ, identify signs of inflammation and detect changes that require further monitoring or treatment. This is precisely why such an examination is prescribed not only for pain or problems with urination, but also when it is important to determine the condition of the prostate as accurately as possible. With the help of TRUS, the doctor can identify or suspect the following changes:

•       inflammatory processes, including prostatitis;
•       prostatic hyperplasia or adenoma, i.e. benign tissue growth;
•       cysts – cavities containing fluid;
•       areas of altered structure, which may require further investigation to rule out a malignant process.

It is important to understand that after the age of 40–45, the examination should be more thorough and comprehensive. At this age, it is recommended to supplement a prostate ultrasound Kyiv with a PSA blood test, so that the doctor can assess the situation more fully and detect changes in good time that do not yet present with obvious symptoms at an early stage.

Proper preparation for TRUS: what the patient needs to know

Preparation for TRUS directly affects the accuracy of the results, so you should not ignore the recommendations before the examination. If a prostate ultrasound has been scheduled, your last meal should be light and no later than 12 hours before the procedure. This helps the doctor obtain a clearer picture and avoid factors that could affect the accuracy of the examination.

Another important step is bowel preparation 1–2 hours before the examination: this can be done at home using a micro-enema or entrusted to the staff at our clinic. About 60 minutes before the procedure, you should drink around 1 litre of still water and arrive with a full bladder. If you are planning a prostate ultrasound Kyiv, it is best to clarify all the details of the preparation when booking your appointment, so that on the day of the examination you can feel at ease and be confident in the accuracy of the results.

Contraindications to transrectal examination

Despite the high diagnostic value of the method, a transrectal examination is not suitable in all cases. Before prescribing a prostate ultrasound, the doctor will always assess the patient’s general condition, check for any underlying conditions and identify any potential restrictions. This is important because even a beneficial diagnostic procedure must be carried out in comfortable and safe conditions, without unnecessary risk or significant discomfort. The main contraindications and restrictions for TRUS include:

1. Exacerbation of haemorrhoids with large, painful lumps.
2. Recent surgery on the rectum.
3. Chronic severe bowel dysfunction.
4. Conditions in which the insertion of the probe may cause significant discomfort or a deterioration in well-being.

In such situations, the examination is not automatically cancelled, but is rescheduled for a more suitable time or an alternative diagnostic method is selected. If you need to undergo a prostate ultrasound Kyiv, it is best to inform your doctor in advance about any previous operations, bowel problems or rectal conditions, so that the Avicenna Med specialist can choose the most appropriate examination approach.

The benefits of ultrasound diagnostics at Avicenna Med

When a patient visits the clinic not only for a routine examination but also for clear results, the standard of equipment and the specialists’ experience are of great importance. At Avicenna Med, prostate ultrasound scans are performed using state-of-the-art, expert-grade equipment, which helps to assess the condition of the organ in detail, identify changes in tissue structure and provide the doctor with an accurate basis for further decisions. For men, this means less uncertainty, fewer unnecessary referrals and greater confidence after just the first visit. The benefits of ultrasound diagnostics at Avicenna Med:

•       the examination is performed using high-precision, expert-class equipment;
•       consultations are conducted by qualified diagnostic specialists and urologists, so the patient can proceed directly to the next stage of the examination;
•       if necessary, tissue samples for biopsy can be taken during the TRUS, without postponing important diagnostic procedures until another day;
•       The clinic offers a comfortable environment, ensures complete confidentiality, and operates on an appointment-only basis, with no queues.

If, based on the examination results, the doctor requires a more in-depth check-up, at our Avicenna Med clinic you can proceed directly via the “Oncology” department without wasting time looking for another medical centre. This approach is particularly important when you need to have a prostate ultrasound scan Kyiv quickly and calmly, with the option of receiving further recommendations on diagnosis and treatment straight away.