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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...

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Related Experiment Video

Updated: May 30, 2026

Use of MRI-ultrasound Fusion to Achieve Targeted Prostate Biopsy
09:11

Use of MRI-ultrasound Fusion to Achieve Targeted Prostate Biopsy

Published on: April 9, 2019

Construct validity in a high-fidelity prostate exam simulator.

C G Kowalik1, G J Gerling, A J Lee

  • 1Department of Urology, Lahey Clinic Medical Center, Boston, MA 22908, USA.

Prostate Cancer and Prostatic Diseases
|August 24, 2011
PubMed
Summary
This summary is machine-generated.

Tissue elasticity differences within the prostate, not absolute stiffness, indicate cancer during digital rectal exams (DRE). A novel prostate simulator helps train urologists to detect cancerous nodules.

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Last Updated: May 30, 2026

Use of MRI-ultrasound Fusion to Achieve Targeted Prostate Biopsy
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A Cognitive Fusion-guided Prostate Biopsy Using Multiparametric Magnetic Resonance Imaging and Transrectal Ultrasound
06:08

A Cognitive Fusion-guided Prostate Biopsy Using Multiparametric Magnetic Resonance Imaging and Transrectal Ultrasound

Published on: March 21, 2025

Area of Science:

  • Urology
  • Medical Simulation
  • Biomaterials Science

Background:

  • Digital Rectal Exam (DRE) is crucial for assessing prostate, rectal, and neurological health.
  • Tissue elasticity may indicate cancerous changes in the prostate.
  • A prostate simulator was developed to evaluate surgeon perception of prostate stiffness and nodule palpability.

Purpose of the Study:

  • To validate that tissue elasticity changes correlate with prostate cancer.
  • To assess a novel prostate simulator's ability to replicate realistic prostate stiffness.
  • To determine the palpable nodule size and stiffness variations indicative of malignancy.

Main Methods:

  • Ex-vivo prostatectomy specimens (n=21) underwent material characterization using a spherical indentation device.
  • Human-subjects experiments utilized a novel prostate simulator for urologist evaluations.
  • Histopathology and clinical history data were abstracted.

Main Results:

  • Cancerous tissue was consistently stiffer than surrounding prostate tissue.
  • Urologists evaluated simulated prostates with stiffness ranging from 8.9 to 91 kPa.
  • Nodules smaller than 7.5 mm were considered impalpable; stiffness differences, not absolute values, were key tactile cues.

Conclusions:

  • The relative elasticity difference between a nodule and the background prostate is critical for detection.
  • Prostate simulator training can enhance diagnostic skills for prostate cancer detection.