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Related Experiment Videos

[Physical diagnosis--digital rectal examination].

M F van Driel1, M V van Andel, H O ten Cate Hoedemaker

  • 1Afd. Chirurgie, Academisch Ziekenhuis, Postbus 30.001, 9700 RB Groningen. m.f.van.driel@chir.azg.nl

Nederlands Tijdschrift Voor Geneeskunde
|April 3, 2002
PubMed
Summary
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Digital rectal examination is a crucial diagnostic skill for physicians, aiding in the detection of prostate and anorectal conditions. However, it cannot definitively exclude prostate cancer, as its sensitivity varies.

Area of Science:

  • Urology
  • Gastroenterology
  • Primary Care Medicine

Context:

  • Digital rectal examination (DRE) is indicated for various urogenital and anorectal complaints.
  • Prevalence of micturition problems in the elderly and anorectal/urogenital complaints in general practice highlight the relevance of DRE.

Purpose:

  • To outline the indications, limitations, and diagnostic value of digital rectal examination.
  • To emphasize DRE as a fundamental skill for physicians managing common patient complaints.

Summary:

  • DRE has variable sensitivity (50-80%) for prostate carcinoma and cannot exclude its presence.
  • Prostate carcinoma detection via DRE is influenced by serum prostate-specific antigen (PSA) levels.
  • DRE is valuable for diagnosing anorectal disorders, including rectal carcinoma.

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Impact:

  • Highlights the importance of DRE in primary care for diagnosing common urogenital and anorectal conditions.
  • Informs clinicians about the diagnostic limitations of DRE, particularly for prostate cancer detection.
  • Underscores the necessity of integrating DRE into medical training and practice.