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Related Concept Videos

Assessing Body Temperature - Rectal01:27

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The Utility of Digital Rectal Examination in Estimating Prostate Volume in a Rural Hospital Setting.

E I Udeh1, N K Dakum2, S A Aderibigbe1

  • 1Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria.

Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society
|October 2, 2015
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Digital rectal examination (DRE) provides a reliable estimation of prostate volume, correlating well with abdominal ultrasound findings. This clinical skill is valuable where advanced equipment is unavailable.

Keywords:
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Area of Science:

  • Urology
  • Medical Imaging
  • Diagnostic Techniques

Background:

  • Lower urinary tract symptoms (LUTS) are common in men.
  • Accurate prostate volume estimation is crucial for diagnosis and management.
  • Digital rectal examination (DRE) is a traditional clinical assessment method.

Purpose of the Study:

  • To evaluate the correlation between prostate volume assessed by DRE and abdominal ultrasound.
  • To determine the reliability of DRE in estimating prostate size.

Main Methods:

  • 100 men with LUTS were recruited from a urology outpatient clinic.
  • Prostate size was estimated using DRE with a sliding scale.
  • Prostate volume was subsequently measured via transabdominal ultrasound.

Main Results:

  • A good agreement was found between DRE and ultrasound estimations (Kappa = 0.58).
  • Pearson's correlation coefficient showed a high positive correlation (r = 0.59, P < 0.01).
  • The results indicate a statistically significant correlation between the two methods.

Conclusions:

  • Digital rectal examination is a reliable method for estimating prostate volume.
  • DRE is particularly valuable in resource-limited settings lacking advanced diagnostic facilities.
  • Clinical acumen remains a vital tool in prostate assessment.