Transrectal, Scrotal or Renal Ultrasonography

Transrectal, Scrotal and Renal Ultrasonography

Ultrasound in the evaluation of infertile male

Ultrasonography is now a commonly employed method for diagnosing infertility in men and understanding infertility’s underlying cause. The ultrasonography can detect the many disorders of the male reproductive tract and become the gold standard of radiography.

Scrotal Ultrasound

A scrotal ultrasound is a painless, non-invasive procedure using sound wave which creates two-dimensional images of the scrotum. The ultrasound produces images of the internal structures of the scrotum – the testicles, the epididymis, and the spermatic cord. The scrotal ultrasound has images that can show the size of the testicles, any signs & symptoms of injury to the testicles, swelling of the veins that drain testicles, infection and inflammation of the testicles, amongst others.

Transrectal Ultrasound (TRUS)

Transrectal ultrasound (TRUS) is an outpatient procedure that uses sound waves to create a video image of the prostate gland. Prostate tumours sometimes form echoes that are different from normal prostate tissue. The echoes that bounce back are sent to a computer that translates the pattern of echoes into a picture of the prostate.

The patient is made to lie on his left side, and a rectal probe is inserted into the rectum. The rectal probe sends sound waves to the prostate gland; normal and abnormal tissue bounce back different kinds of echoes relayed to the computer, which translates their pattern into a video picture of the prostate.

Sonographic evaluation of the prostate

Sonographic evaluation of the prostate is performed in search for midline intraprostatic cysts, Mullerian duct cysts and ejaculatory duct diverticula. Prostate evaluation is performed after scanning of the seminal vesicles and ejaculatory duct. Dilated seminal vesicles with or without concomitant ejaculatory duct dilatation and the absence of seminal vesicles are indicative of ejaculatory duct obstruction and vasal agenesis, respectively.

Request Appointment