Document Detail

Patient positioning during digital rectal examination of the prostate: preferences, tolerability, and results.
MedLine Citation:
PMID:  21756385     Owner:  NLM     Status:  In-Data-Review    
Purpose: To evaluate the preferred position used by Brazilian Urologists to perform DRE, the position that Brazilian patients prefer or think it is less embarrassing to have a DRE, and to evaluate the results of DRE with patients in left lateral decubitus, modified lithotomy, standing-up, or the physician will have them place their elbows on the table and squat down slightly. Materials and Methods: Brazilian Urologists were contacted by e-mail, and 200 patients answered a questionnaire while undergoing prostate cancer screening. Results: The preferred position was modified lithotomy position reported by 63.4 % of Urologists, and left lateral position reported by 42.7 % of the patients. Total DRE time was lower in the standing-up position. Pain and urinary urgency scores were similar regardless of the position used, and bowel urgency score was higher in patients squatting down. Patients were similar in terms of age and PSA level, but there was a significant difference between the standard deviations of estimated prostate weight in left lateral position. There were no differences in prostate asymmetry, positive DRE, or incomplete palpation of the prostate rates among different examination positions. Conclusions: Despite individual subjective preferences, a faster examination time in the standing-up position, and higher bowel urgency scores in patients with their elbows placed on the table and squatting down slightly, there were similar rates of prostate asymmetry, positive DRE, and incomplete palpation of the prostate, and comparable patient tolerability among different examination techniques.
Frederico R Romero; Antonio W Romero; Renato Tambara Filho; Thadeu Brenny Filho; Fernando Cesar de Oliveira
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International braz j urol : official journal of the Brazilian Society of Urology     Volume:  37     ISSN:  1677-6119     ISO Abbreviation:  Int Braz J Urol     Publication Date:    2011 May-Jun
Date Detail:
Created Date:  2011-07-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158091     Medline TA:  Int Braz J Urol     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  371-9     Citation Subset:  IM    
Hospital de Clinicas da Universidade Federal do Parana, PR, Brazil.
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