What is an endorectal ultrasound?
Definition Endorectal ultrasound (ERUS) is a procedure where a probe is inserted into the rectum and high frequency sound waves (ultrasound waves) are generated. The pattern of echoes as they bounce off tissues is converted into a picture (sonogram) on a television screen. Purpose ERUS is used as a diagnostic procedure in rectal cancer to determine stage of the tumor and as a postradiation, presurgical examination to assess extent of tumor shrinkage. ERUS can also be used in cases of anal fistula (an abnormal passage) and problems with the anal sphincter muscles (muscles that control the opening and closing of the anus). Precautions Normal precautions should be taken with any diagnostic procedure. Since the population in which this procedure is normally done is elderly, the imaging staff should be extra cautious about stressing the patient. The procedure is invasive and may be embarrassing to some. Other patients may be anxious about their medical condition since endorectal ultrasounds