Genitourinary Cancer
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Step 1: Planning your transrectal ultrasound (TRUS)

At this appointment the healthcare team will map out the size and position of the prostate.

  • The TRUS will be done by your doctor or by a specially trained radiation therapist.
  • You will lie on your back with your feet in stirrups.
  • Some jelly will be put into the urethra. The urethra is a tube that runs through the prostate which carries urine from the bladder. This is done so that the urethra can be seen on the ultrasound. This may cause some discomfort.
  • An ultrasound probe will be put into your rectum to get images of your prostate.
  • The images will be used to plan for your permanent seed brachytherapy treatment. Usually 80 to 120 seeds are needed.
  • On the day of your TRUS you may have blood tests done and an electrocardiogram (ECG) to check your heart.

The computer gives a 3-D image of the prostate, rectum, urethra and seeds.
The computer gives a 3-D image of the prostate, rectum, urethra and seeds.

The ultrasound shows the size and shape of the prostate as seen on TRUS.
The ultrasound shows the size and shape of the prostate as seen on TRUS.

How do I get ready for my TRUS?

  • You may need to give yourself a fleet enema 1 hour before the TRUS appointment. Your health care team will let you know. You can buy the fleet enema at your pharmacy. You do not need a prescription.
  • Check in at the Ground Floor Radiation Therapy reception desk

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