Prostate Ultrasound
Prostate ultrasound, or USG of the prostate, is a non-invasive method that allows doctors to visualize the prostate gland and assess its size, shape, and structure. This procedure is widely used to diagnose various prostate conditions, including prostate enlargement, inflammation, tumors, or other changes. It also helps evaluate urinary retention and other urinary tract issues.
At “Republikas laukuma klīnikā”, highly qualified specialists perform prostate ultrasounds in a comfortable manner, providing important information about prostate health.

Dr. Vladimirs Šalajevs
Prostate Ultrasound Procedure
Prostate ultrasound (USG) is a fast, safe, and painless method for early detection of potential prostate issues, allowing timely treatment. The procedure usually lasts 15–20 minutes and provides immediate results that the doctor can interpret during the examination.
For men over 50, regular prostate ultrasound can be an important part of a health check-up, especially if there is an increased risk of prostate cancer or observed urinary difficulties.
Modern USG offers different approaches, including transrectal and transabdominal methods, depending on the patient’s needs. The transrectal method is more precise, as the prostate is located near the rectum.
Indications for Prostate USG
Prostate ultrasound is often recommended for patients with urinary problems or suspected prostate conditions. Common indications include:
- Elevated PSA levels (prostate-specific antigen) in the blood
- Urination difficulties or other lower urinary tract symptoms
- Suspicion or monitoring of prostate cancer
- Chronic pelvic pain syndrome
This procedure is particularly useful for assessing prostate enlargement (benign prostatic hyperplasia), diagnosing prostatitis, or detecting prostate tumors. It helps doctors develop an optimal treatment plan based on an accurate assessment of prostate health.
Preparation for Prostate USG
Prostate ultrasound is straightforward and generally does not require complex preparation. Key steps include:
- For transabdominal USG: Drink 1–1.5 liters of water 1–2 hours before the procedure and avoid urinating. A full bladder improves visualization of the prostate.
- For transrectal USG: Bowel cleansing may be necessary. The doctor may recommend an enema or specific bowel preparation a few hours prior.
- Inform the doctor about any medications you are taking.
- Understanding the procedure reduces anxiety and ensures accurate results.
Methodology
- Transabdominal USG: The probe is placed on the lower abdomen.
- Transrectal USG: A thin probe is inserted into the rectum.
During the procedure, the doctor:
- Applies a special gel to the probe for better sound wave transmission.
- Gently moves the probe to capture images from different angles.
- Measures prostate size and evaluates its structure.
The procedure is not painful, although minor discomfort may occur.
Frequently Asked Questions
What is prostate ultrasound?
Prostate ultrasound (USG) is an imaging method that uses sound waves to obtain images of the prostate gland. Modern USG devices produce high-resolution images, allowing precise evaluation of prostate size, shape, and structure.
What are the main symptoms indicating the need for prostate USG?
- Frequent urination, especially at night
- Difficulty initiating urination or weak urine flow
- Pain or burning during urination, blood in urine or semen
- Pain in the perineum, testicles, or lower back
How to prepare for prostate USG?
- Transabdominal USG: Fill the bladder by drinking 1–1.5 liters of fluid 1–2 hours before the exam.
- Transrectal USG: Bowel cleansing is recommended.
- Inform the doctor about all medications. No special dietary restrictions are needed.
Is prostate USG painful or uncomfortable?
- Transabdominal USG is not painful, though a full bladder may cause mild discomfort.
- Transrectal USG may cause slight discomfort during probe insertion, but it is generally not painful due to the small size of the probe and use of special gel.
The examination lasts 15–20 minutes. Patients may feel some pressure, but severe pain is uncommon.
Prostate USG Cost
Prostate USG Cost “Republikas laukuma klīnika” in Riga is €60.00.