Digital Rectal Examination (DRE) of the Prostate

Introduction

Digital Rectal Examination (DRE) is a key diagnostic procedure used to assess the health of the prostate gland. This examination helps detect abnormalities such as benign prostatic hyperplasia (BPH), prostatitis, or prostate cancer.

Step-by-Step Procedure

Preparation

• Ensure patient consent and explain the procedure
• Use lubricated gloves to minimize discomfort
• Position the patient in a lateral or standing bent-forward stance

Examination Process

• Insert the lubricated index finger gently into the rectum
• Palpate the prostate gland for size, texture, and presence of nodules
• Assess for tenderness, asymmetry, or firm areas

Post-Examination

• Discuss findings with the patient
• Recommend further tests if abnormalities are detected

Clinical Significance

DRE is crucial for early detection of prostate issues. While not definitive, abnormal findings may necessitate further testing, such as prostate-specific antigen (PSA) screening or biopsy.