Teaching and practising rectal examination in Pakistan

Asif, Muhammad; Shahzad, Noman; Ali, Madeeha; Zafar, Hasnain

doi:10.1111/tct.12371

Cited by 2 publications

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among the study subjects, 20% of women and 6.7% of men ex- The digital rectal examination is a special part of the physical examination; despite the fact that it is not difficult from the technical point of view, it may be associated with many problems related to lack of adequate experience (12). Often the digital rectal examination is indispensable in some clinical cases.…”

Section: Discussionmentioning

confidence: 99%

Comfort During Digital Rectal Examination - Patient Preference*

Dziki¹,

Sobolewska²,

Szewczyk³

et al. 2015

Polish Journal of Surgery

View full text Add to dashboard Cite

The sex and age of the physician performing the digital rectal examination (DRE) procedure is one of the parameters influencing patients' comfort. It is postulated that the stress related to DRE during admission to the surgical ward may affect the compliance. the aim of the study was to characterize patients' preferences according to their sex, age, socioeconomic status and according to DRE-related variables. material and methods. Patients admitted to the Department of General and Colorectal Surgery at Medical University in Łódź between October 2014 and June 2015 were asked to complete a questionnaire regarding their sex, age, ethnic background, socioeconomic status and preference for a physician performing the DRE during admission to the surgical ward. results. The study enrolled 225 patients, 52% (n=117) women and 48% (n=108) men. Most patients 73.3% (n=244) expressed no preference for sex of the physician performing the DRE during admission, while 22.7% (n=51) preferred a same-sex physician. Analysis showed that the age, female sex, lower education status, small amount of comorbidities and number of hospitalizations, and no previous colonoscopy experience were all associated with preference for a same-sex physician. Conclusions. In our study most patients expressed no preference for sex of the physician performing the DRE during admission to the surgical ward. However, over one-tenth of patients reported such preferences. Most of these patients preferred a same-sex physician. It is important to offer these patients the choice of physician performing the DRE. Addressing patients' preferences may improve the atmosphere in the clinical environment, reduce stress, and facilitate better treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Comfort During Digital Rectal Examination - Patient Preference*

Dziki¹,

Sobolewska²,

Szewczyk³

et al. 2015

Polish Journal of Surgery

View full text Add to dashboard Cite

show abstract

Right Lateral Digital Rectal Examination in Men with Suspected Prostate Disease Presenting with Lower Urinary Tract Symptoms

Takure

2024

EMJ

View full text Add to dashboard Cite

Background: The prostate gland is anterior to the rectum. There are different positions for digital rectal examination, and 95% of individuals are right-handed. This study aimed to determine the suitability and efficacy of right lateral digital rectal examination (RLDRE). Methods: A prospective cross-sectional study was conducted in a tertiary hospital on men with lower urinary tract symptoms due to benign prostate enlargement or prostate cancer. The perceptions of patients, surgical trainees, and medical students during RLDRE was assessed using the Likert scale questionnaire. The age and clinical presentation were documented. The ability to appreciate abnormal prostate disease was evaluated. The data was analysed using Statistical Package for Social Sciences (SPSS) version 24 (IBM, Armonk, New York, USA). Pearson’s correlation coefficient for non-categorical variables was performed and the level of significance was p<0.001. Ethical approval was obtained. Results: A total of 203 patients were recruited, of which surgical trainees and medical students assessed 130 and 73 patients, respectively. The patients’ mean age was 69.5±9.1 years. The main presentations were urethral catheter in situ due to acute urinary retention in 77 patients (37.9%) and moderate lower urinary tract symptoms in 62 patients (30.5%). The number of patients with the RLDRE perception of well-tolerated, less awkward, and less painful were 161 (79.7%), 121 (59.9%), and 130 (64.4%), respectively. The perceptions of surgical trainees and medical students for ease of RLDRE were 77.7% and 74%, respectively, and for detection of abnormality were 57% and 68.5%, respectively. Detection rates for prostate cancer by surgical trainees and medical students were 87.5% and 75%, respectively, and for benign prostatic hyperplasia were 87.5% and 62.5%, respectively. Conclusion: RLDRE was well tolerated by patients. Surgical trainees and medical students were comfortable with RLDRE with reasonable detection of benign prostatic hyperplasia and prostate cancer.

show abstract

Teaching and practising rectal examination in Pakistan

Abstract: Teaching sessions on DRE using manikins are suggested to begin early in medical school. It is also suggested that a minimum number of DREs should be performed under supervision before the completion of the internship.

Cited by 2 publications

References 8 publications

Comfort During Digital Rectal Examination - Patient Preference*

Comfort During Digital Rectal Examination - Patient Preference*

Right Lateral Digital Rectal Examination in Men with Suspected Prostate Disease Presenting with Lower Urinary Tract Symptoms

Contact Info

Product

Resources

About