Investigation guide

Transrectal ultrasound of the prostate (TRUS)Prostate ka transrectal ultrasound (TRUS)

Transrectal ultrasound, or TRUS, is a scan of the prostate. A thin, lubricated probe is placed gently into the back passage, which lets the prostate be seen more clearly than with a scan through the tummy. This guide explains what happens, and what the scan can and cannot show.

Transrectal ultrasound, ya TRUS, prostate ka aik scan hai. Aik patla, chikna probe nazuk tareeqe se back passage mein rakha jata hai, jis se prostate pet ke upar se scan karne ki nisbat zyada wazeh nazar aata hai. Yeh guide batati hai ke kya hota hai, aur scan kya bata sakta hai aur kya nahi.

On this pageIs safhay par

Yeh scan kya hai aur kyun kiya jata hai

TRUS awaz ki lehron se prostate ki tasveerein banata hai. Aik patla probe, jo chikne khol se dhaka hota hai, nazuk tareeqe se back passage (rectum) mein rakha jata hai. Prostate rectum ke bilkul aage hoti hai, is liye probe us ka saaf manzar deta hai.

Aap ka urologist TRUS is liye kah sakta hai ke prostate ka saiz aur shakl napi jaye, ya koi aisi jagah dekhi jaye jise mazeed dekhne ki zaroorat ho.

TRUS prostate biopsy ke dauran bhi istemal ho sakta hai, jab patli soi se prostate ke chhote tukde liye jaate hain. Agar biopsy ka iraada ho to aap ka urologist ise alag se samjhayega.

Back passage mein probe Aik patla probe back passage mein rakha hua hai aur awaz ki lehrein prostate ki taraf jati hain, jo bladder ke neeche aur back passage ke aage hoti hai. Back passage mein probe Bladder Prostate Probe Back passage Probe prostate ka andar se qareeb ka manzar deta hai. Yeh us ka saiz aur shakl, aur mazeed dekhne wali koi jagah dikhata hai. Yeh prostate biopsy ki rehnumai ke liye bhi istemal ho sakta hai.
Aasaan tasveer: back passage mein probe, aur us ke aage prostate.

TRUS prostate ka saiz aur shakl dikhata hai. Akele yeh nahi bata sakta ke koi jagah cancer hai ya nahi.

Scan se pehle

Aam tor par koi khaas tayyari nahi karni hoti. Team ko batayein agar peshab ya prostate ka haal mein koi infection hua ho, aur agar pehle back passage ka koi operation hua ho ya wahan se khoon aaya ho. Apne taur par koi dawa band na karein.

Scan ke dauran

Aap apne ghutne mooda kar ke ek taraf leten ge, ya couch par. Probe par thora sa gel lagaya jata hai, phir nazuk tareeqe se back passage mein rakha jata hai. Dabao ya paakhana karne ki hajat jaisa mehsoos ho sakta hai. Agar takleef ho to team ko batayein, woh ruk ya adjust kar sakti hai.

Scan aam tor par jaldi ho jata hai.

Scan ke baad

  • Aam tor par aap fauran ghar ja sakte hain.
  • Halki takleef ya paakhane ki hajat jaisi kaifiyat thori der tak rah sakti hai.
  • Zyada pani piyein, khaas tor par garmi mein.
  • Team ke kehne tak mamool ke kaam jari rakhein.

Aap ke nateeje

Report prostate ke saiz aur shakl aur kisi bhi mushtabah jagah ko batati hai.

Report apne urologist ko dikhayein. Sirf woh doctor jo aap ko jaanta hai samjha sakta hai ke iska matlab kya hai aur agla qadam kya hona chahiye. Normal scan har masle ko khaarij nahi karta, aur mushtabah jagah cancer ki tasdeeq nahi karti. Nateeja aap ke PSA, alamaat aur muaine ke saath parha jata hai.

Fauran madad kab lein

TRUS emergency test nahi hai. Agar scan ke baad yeh hon to fauran madad lein:

  • Bukhar, kaampna, ya bohat bimar mehsoos karna.
  • Peshab nahi ho raha, ya sirf boond boond ho raha hai (dekhein peshab ruk jane wali guide).
  • Back passage se bohat khoon, ya peshab mein bohat khoon ya khoon ke lothray.
  • Pait, kamar ya back passage mein shadeed dard jo barhta jaye.

Agar shak ho to qareebi emergency department jayein aur unhein batayein ke aap ka prostate ka scan hua hai.

Aam sawalaat

Kya TRUS mein dard hota hai?

Yeh aam tor par dard se zyada takleef hoti hai. Zyada tar mardon ko dabao ya paakhane ki hajat jaisa mehsoos hota hai. Agar takleef ho to team ko batayein.

Kya anaesthetic dena parta hai?

Aam tor par nahi. Zyada tar TRUS anaesthetic ke baghair kiye jate hain. Koi sawal ho to team se poochhein.

Kya TRUS cancer dikhata hai?

Hamesha nahi. Yeh prostate ka saiz aur shakl aur koi jagah dikhata hai jise mazeed dekhne ki zaroorat ho. Wajah jaanne ke liye biopsy ya MRI jaise dusre tests ki zaroorat ho sakti hai.

TRUS aur MRI scan mein kya farq hai?

Dono prostate ko dekhte hain lekin tareeqay mukhtalif hain. TRUS awaz ki lehron aur probe se hota hai. MRI magnet aur radio lehron se hota hai aur probe ki zaroorat nahi parti. Aap ka urologist woh test chunega jo aap ke liye theek ho.

What it is and why it is done

TRUS uses sound waves to make pictures of the prostate. A thin probe, covered with a lubricated sheath, is placed gently into the back passage (rectum). The prostate lies just in front of the rectum, so the probe gives a clear view of it.

Your urologist may ask for a TRUS to measure the size and shape of the prostate, or to look at an area that needs checking.

TRUS may also be used during a prostate biopsy, when a thin needle takes small samples from the prostate. If a biopsy is planned, your urologist will explain it separately.

Transrectal ultrasound of the prostate A thin probe placed in the back passage sends sound waves up to the prostate, which sits just below the bladder and in front of the back passage. The probe in the back passage Bladder Prostate Probe Back passage The probe gives a close view of the prostate from inside. It shows its size and shape, and any area that needs a closer look. It may also be used to guide a prostate biopsy.
Simple picture of the probe in the back passage, with the prostate in front of it.

A TRUS shows the shape and size of the prostate. It cannot tell on its own whether an area is cancer.

Before the scan

No special preparation is usually needed. Please tell the team about any recent urine or prostate infection, and about any previous rectal surgery or bleeding from the back passage. Do not stop any medicine on your own.

During the scan

You lie on your side with your knees drawn up, or on a couch. A little gel is put on the probe, which is then gently placed into the back passage. It may feel like pressure or a need to open your bowels. Tell the team if it hurts, and they can pause or adjust.

The scan itself is usually quick.

After the scan

  • You can usually go home straight away.
  • Mild discomfort or a feeling of needing to open your bowels can last a short while.
  • Drink plenty of fluids, especially in hot weather.
  • Carry on as normal unless your team tells you otherwise.

Your results

The report describes the size and shape of the prostate and any area that looks abnormal.

Please take the report to your urologist. Only a doctor who knows you can explain what it means and what should happen next. A normal scan does not rule out every problem, and an abnormal area does not confirm cancer. The result is read together with your PSA, your symptoms and your examination.

When to seek urgent help

A TRUS is not an emergency test. Please seek urgent help if any of these happen after the scan:

  • Fever, shivering or feeling very unwell.
  • You cannot pass urine, or are passing only drops (see the urinary retention guide).
  • Heavy bleeding from the back passage, or heavy blood in the urine or clots.
  • Severe pain in the tummy, back or back passage that is getting worse.

If you are in any doubt, go to the nearest emergency department and tell them you have had a prostate scan.

Common questions

Is a TRUS painful?

It is usually uncomfortable rather than painful. Most men feel pressure or a sense of needing the toilet. Tell the team if it hurts.

Will I need an anaesthetic?

Usually not. Most TRUS scans are done without an anaesthetic. Ask your team if you have any questions.

Does TRUS show cancer?

Not always. It shows the size and shape of the prostate and any area that may need a closer look. Other tests, such as a biopsy or MRI, may be needed to find out the cause.

How is a TRUS different from an MRI scan?

Both look at the prostate, but they use different methods. A TRUS uses sound waves and a probe. An MRI uses a magnet and radio waves and does not need a probe. Your urologist will choose the test that is right for you.

Written and reviewed by Dr Mudassir Hussain, Consultant Urologist, FRCS (Urol) Eng, FCPS (Urol) Pak

Last reviewed: October 2026    Next review due: October 2028

Further reading from trusted organisations (free, in English):Mazeed parhne ke liye, mustanad idaaron ki taraf se (muft, angrezi mein):
NHS: Tests and next steps for prostate cancer

This guide gives general information and is not a substitute for advice from the doctor treating you.

Yeh guide aam maloomat deti hai aur aap ka ilaaj karne wale doctor ke mashwaray ka mutabadil nahi hai.