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Transrectal ultrasonography, or TRUS in short, is a method of creating an image of organs in the pelvis, most commonly used to perform an ultrasound-guided needle biopsy evaluation of the prostate gland in men with elevated prostate-specific antigen or prostatic nodules on digital rectal exam.
The prostate is a gland that is deep within the pelvic cavity of those with male anatomy. It is responsible for producing fluid that helps with sperm movement. Due to its location within the body, when diseased, it can affect the reproductive and urinary systems. [3]
Endogenous stones: These are small stones formed within the acini of the prostate. They have a higher correlation with age. [3] Extrinsic stones: These stones are usually larger and formed due to the reflux of urine into the prostate. [3] The exact mechanism of the development of prostatic calculi is still unclear. [3]
The International Prostate Symptom Score (IPSS) can be used to gauge the symptoms, along with physician examination. Other primary and secondary tests are often carried out, such as a PSA (Prostate-specific antigen) test, [17] urinalysis, ultrasound, urinary flow studies, imaging, temporary prostatic stent placement, prostate biopsy and/or ...
Misrepair-accumulation aging theory [44] suggests that development of benign prostatic hyperplasia is a consequence of fibrosis and weakening of the muscular tissue in the prostate. [45] The muscular tissue is important in the functionality of the prostate, and provides the force for excreting the fluid produced by prostatic glands.
However, prostatic edema is expected after microwave therapy, and this can lead to a risk of urinary retention. While some protocols suggest leaving a Foley catheter in for up to two weeks in all patients, other urologists are choosing to place a temporary prostatic stent after the first week following treatment.
The International Prostate Symptom Score (IPSS) is an eight-question written screening tool used to screen for, rapidly diagnose, track the symptoms of, and suggest management of the lower urinary tract symptoms of benign prostatic hyperplasia (BPH).
A further transurethal method utilizes a robotically-controlled waterjet to remove prostate tissue. Visualization is provided by a combination of cystoscope and transrectal ultrasound methods. This procedure claims risk reduction advantages as a result of being heat free.