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Transrectal Ultrasound of the Prostate

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Practical Urological Ultrasound

Abstract

Transrectal ultrasound (TRUS), first described by Watanabe and colleagues in the 1960s, is an essential tool for the diagnosis of prostate cancer as well as for image-guided prostate interventions [1]. By the 1970s TRUS imaging had achieved wide use in clinical practice. Most commonly, TRUS is used to guide core needle biopsy for prostate cancer diagnosis. This was first described by Hodge in 1989 when he advocated the systematic biopsy of the prostate gland [2]. Treatment modalities including brachytherapy, cryotherapy, and high-intensity focus ultrasound (HIFU) also rely on TRUS to appropriately treat prostate cancer patients [3]. In addition, TRUS provides valuable information for follow-up and treatment of benign prostatic hyperplasia (BPH). TRUS may be helpful in the evaluation of patients with idiopathic infertility [4–8]. The indications and techniques for TRUS, proper documentation, anatomy of the prostate, and new ultrasonographic technologies will be discussed in this chapter. The topic of TRUS with prostate biopsy is covered in a separate chapter.

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Correspondence to Edouard J. Trabulsi MD, FACS .

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Trabulsi, E.J., Liu, X.S., Das, A.K. (2013). Transrectal Ultrasound of the Prostate. In: Fulgham, P., Gilbert, B. (eds) Practical Urological Ultrasound. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-59745-351-6_10

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  • DOI: https://doi.org/10.1007/978-1-59745-351-6_10

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