Digital rectal examination

Digital Rectal Examination (DRE) is a common diagnostic procedure used in the medical field. It involves the insertion of a healthcare provider's gloved and lubricated finger into the rectum of the patient to assess the size, shape, and consistency of the prostate gland in men, and to check for abnormalities in the lower rectum and anal canal in both men and women.

Procedure

The patient is usually asked to either lie on their side with their knees drawn up to their chest, or to bend over a table. The healthcare provider then inserts a gloved and lubricated finger into the rectum and feels for any abnormalities. In men, the prostate gland can be felt in this way.

Uses

The DRE is commonly used to screen for prostate cancer and prostate disorders in men. It can also be used to detect rectal tumors, polyps, hemorrhoids, and anal fissures. In women, it can be used to assess the uterus and ovaries.

Limitations

While the DRE is a useful diagnostic tool, it has its limitations. It can only detect abnormalities in the lower rectum and anal canal, and it cannot detect abnormalities in the upper rectum or colon. Furthermore, it is not always accurate in detecting prostate cancer, as many tumors are located in areas of the prostate that cannot be felt during a DRE.

Risks

The risks associated with a DRE are minimal. Some patients may experience discomfort or pain during the procedure, and there is a small risk of causing a tear in the rectal lining.

See Also

• Prostate cancer
• Prostate disorders
• Rectal tumors
• Polyps
• Hemorrhoids
• Anal fissures
• Uterus
• Ovaries

Digital rectal examination Resources
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