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If your doctor has recommended imaging, you may be asking, how is an ultrasound of the prostate performed? In this video, Dr. Kia Michel, board-certified urologist and founder of Comprehensive Urology in Beverly Hills, explains what happens during a prostate ultrasound, why it’s ordered, and what patients can expect before, during, and after the procedure.

With over 20 years of experience and access to advanced in-office diagnostics, Dr. Michel ensures patients receive accurate imaging with minimal discomfort and fast results.

Video Description

Understanding how an ultrasound of the prostate is performed can ease anxiety before your appointment. The most common method is a transrectal ultrasound (TRUS), where a small ultrasound probe is gently inserted into the rectum to create detailed images of the prostate gland.

In this video, Dr. Michel explains why a prostate ultrasound may be recommended, including evaluation of elevated PSA, prostate enlargement (BPH), abnormal digital rectal exam findings, or guidance during a prostate biopsy. The procedure typically takes about 10–15 minutes and is performed in-office.

He also discusses preparation, whether sedation is required (usually not for diagnostic ultrasound alone), and how ultrasound imaging helps guide targeted biopsy for improved prostate biopsy accuracy.

At Comprehensive Urology, patients benefit from our best-in-class Beverly Hills facility, in-office diagnostics for faster results, and affiliation with Cedars-Sinai for comprehensive care. Our team delivers state-of-the-art urologic care based on the latest research and clinical trials.

Timestamps
0:00 – What is a prostate ultrasound?
0:20 – Why it’s performed
0:45 – Step-by-step procedure explanation
1:15 – Does it hurt?
1:35 – How results are used

What’s Covered in This Video

  • When a Prostate Ultrasound is recommended
  • Evaluation beyond Normal PSA Levels
  • MRI Prostate Biopsy  – Explore how MRI fusion and targeted biopsies improve diagnostic accuracy.
  • Prostate Cancer – Learn about diagnosis, staging, and advanced treatment options for localized and aggressive prostate cancer. 
  • What to expect during an in-office diagnostic procedure

FAQ

Is a prostate ultrasound painful?
Most men experience mild pressure but not significant pain. The procedure is brief and well tolerated.

Do I need anesthesia for a prostate ultrasound?
Diagnostic ultrasound alone typically does not require anesthesia.

Medically Reviewed by:

Written by: Kia Michel, MD, Board-Certified Urologist, Urological Surgeon, & Sexual Health Specialist
Reviewed by: Robert Sanford, MD, Board-Certified Urologist, Urological Surgeon, & Sexual Health Specialist

Last Reviewed: March 10, 2026 02:22pm PT

How We Review Medical Content: Dr. Michel reviews all references for accuracy and clinical relevance and Dr. Robert Sanford peer-reviews the data to ensure the most up to date information.

Disclaimer: This video and supporting text is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Please contact a licensed physician in reference to your specific case.

Kia Michel, MD

Kia Michel, MD

Written by Dr. Kia Michel, a board certified urologist, surgeon, and founding member of Comprehensive Urology in Beverly Hills, Los Angeles. Dr. Michel's expertise includes focal therapy (HIFU/TULSA), prostate cancer treatment, robotic surgery, and male enhancement treatments such as Shock Wave Treatment for ED and penile injections.

Dr. Michel's Bio

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  • Prostate Cancer – Learn about diagnosis, staging, and advanced treatment options for localized and aggressive prostate cancer.