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17 March 2023

Transperineal Ultrasound (TPUS): What It Is and Why It's Done

A transperineal ultrasound (TPUS) is a specialised, non-invasive imaging technique used to evaluate the pelvic floor, cervix, and lower urinary tract by placing the ultrasound probe gently over the perineum rather than internally. At Spashta Diagnostics, TPUS is most often performed during pregnancy to assess cervical length and in the evaluation of pelvic floor and urinary symptoms.

What Is a Transperineal Ultrasound?

Unlike a transvaginal scan, TPUS is performed with the probe placed externally against the perineum, making it a comfortable and well-tolerated option when an internal scan is not preferred or not possible. It gives clear visualisation of the cervix, bladder neck, urethra, and pelvic floor muscles.

When Is TPUS Recommended?

Your doctor may recommend a transperineal ultrasound for cervical length assessment in pregnancy, particularly when preterm birth risk is being evaluated, for assessing pelvic organ prolapse, for investigating stress or urge urinary incontinence, and for evaluating bladder neck mobility and pelvic floor function after childbirth or pelvic surgery.

What to Expect During the Scan

The scan is quick, painless, and needs no special preparation in most cases. You will be asked to lie down comfortably while the sonologist places the probe over the perineal skin. No internal probe insertion is required, and the scan is usually completed within 10-15 minutes.

At Spashta Diagnostics, every transperineal ultrasound is performed and reported by an experienced radiologist, ensuring accurate, clinically reliable results that you and your doctor can rely on.

To learn more about our Transperineal USG services or to book a scan, please get in touch with our team.