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Is a Transrectal Ultrasound Your Best Bet for Diagnosing Hematospermia?
Published: Sep 17, 2024
Transrectal ultrasound is a key tool in diagnosing persistent hematospermia, helping identify structural abnormalities. This article delves into how the test works and its role in managing hematospermia.
The Basics of Transrectal Ultrasound
Transrectal ultrasound is a procedure where a probe is inserted into the rectum to get detailed images of the prostate and surrounding structures. It's non-invasive and can detect abnormalities in the prostate, seminal vesicles, and spermatic cord. This test is crucial for patients with persistent hematospermia, helping guide further treatment decisions.
When Is It Recommended?
A transrectal ultrasound is recommended for patients with unexplained hematospermia lasting longer than a month. It is particularly useful if initial evaluations like history, physical examination, and urinalysis don't reveal a cause. This test provides a clearer picture of any underlying issues that may not be apparent through other examinations.
Beyond the Basics: Advanced Imaging Techniques
If transrectal ultrasound results are inconclusive, an MRI might be considered, although it is a second-line option. MRI can offer more detailed images, but it also increases the likelihood of unnecessary prostate biopsies. The choice between ultrasound and MRI depends on the initial findings and the patient's condition.
Frequently Asked Questions
It is used to evaluate structural abnormalities in persistent hematospermia cases.
No, it is a non-invasive procedure.
It is recommended if hematospermia persists for over a month.
Yes, but it is a second-line option after ultrasound.
Yes, by identifying underlying abnormalities.
The Bottom Line
Transrectal ultrasound is a vital diagnostic tool for persistent hematospermia, providing clarity when other tests fall short.
References
- Worischeck JH, Parra RO. Chronic hematospermia: assessment by transrectal ultrasound. Urology 1994; 43:515.
- Zhao H, Luo J, Wang D, et al. The value of transrectal ultrasound in the diagnosis of hematospermia. J Androl 2012; 33:897.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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