(877) 273-7763 Book a consult
A joyful family moment.

Getting Answers When You Need Them Most

A transrectal ultrasound (TRUS) with seminal vesicle aspiration helps identify and treat blockages affecting semen flow - an important diagnostic step when semen volume or sperm transport is in question.

Book Now
man reading

What a Transrectal Ultrasound Is & Why It’s Done

This procedure uses ultrasound imaging through the rectum to visualize the prostate, seminal vesicles, and ejaculatory ducts. If needed, fluid can be aspirated from the seminal vesicles to test for obstruction.


This can be especially helpful for men with low volume on semen analysis, ejaculatory issues, or concerns about ejaculatory duct obstruction.

Book Now
Dandelion in glass orb

How does transrectal ultrasound work?

During surgery, an incision is made in the testicle, and under high magnification, the healthiest tubules (most likely to contain sperm) are identified and extracted. This targeted approach improves outcomes and minimizes tissue damage.

What to Expect

This is an outpatient procedure that’s typically done under local anesthesia. It’s quick, minimally invasive, and can provide answers that inform your full fertility workup.

Compassionate Care. Specialized Expertise.

We know that every fertility journey looks different and sometimes the answers aren’t obvious. Our team, led by fellowship-trained urologist Dr. James Weinberger, combines advanced diagnostics with human-centered care. We don’t just treat symptoms - we investigate root causes, always keeping your goals in focus.

baby looking at mother

You deserve male fertility care with an expert. Schedule a consultation with Dr. Weinberger today.

Book Now

FAQs

Most patients tolerate the procedure well with local anesthesia. You may feel slight pressure, but discomfort is minimal and short-lived.

The procedure typically takes 30-60 minutes and is performed as an outpatient visit.

Pathology or fluid analysis results are usually available within a few days. We’ll schedule a follow-up to review findings and next steps.

Yes. TRUS with aspiration is considered low-risk and is commonly used for both diagnostic and therapeutic purposes.

It depends on what we find. This procedure helps guide the next steps in your fertility plan, whether that’s further testing or treatment.