Abstract
Despite advances in imaging techniques, and evaluation of blood and urine markers, the digital rectal examination (DRE) remains a cornerstone of the urological assessment. Barriers to effective DRE remain embarrassment (of both the patient, and the clinician), lack of thorough assessment (the “nominal” examination), and a lack of experience causes misinterpretation of results. An abnormal DRE almost always requires further investigation.
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Catalona W, Smith D, Ratliff T, Dodds K, Coplen D, Yuan J, Petros J, Andriole G. Measurement of prostate- specific antigen in serum as a screening test for prostate cancer. New Engl J Med. 1991;324:1156–61.
Godley P. Prostate cancer screening: promise and peril—a review. Cancer Detect Prev. 1999;23:316–24.
Mistry K, Cable G. Meta-analysis of prostate-specific antigen and digital rectal examination as screening tests for prostate carcinoma. J Am Board Fam Med. 2003;16(2):95–101.
Ng T, Vasilareas D, Mitterdorfer A, Maher P, Lalak A. Prostate cancer detection with digital rectal examination, prostate-specific antigen, transrectal ultrasonography and biopsy in clinical urological practice. Brit J Urol Int. 2005;95(4):545–8.
Okotie O, Roehl K, Han M, Loeb S, Gashti S, Catalona W. Characteristics of prostate cancer detected by digital rectal examination only. Urology. 2007;70(6):1117–20.
Schroder F, van der Maas P, Beemsterboer P, Kruger A, Hoedemaeker R, Rietbergen J, Kranse R. Evaluation of the digital rectal examination as a screening test for prostate cancer. Rotterdam section of the European Randomized Study of Screening for Prostate Cancer. J Natl Cancer I. 1998;90(23):1817–23.
Smith D, Catalona W. Interexaminer variability of digital rectal examination in detecting prostate cancer. Urology. 1995;45(1):70–4.
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© 2014 Springer-Verlag London
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Duthie, J., Freeborn, H., Murphy, D.G. (2014). Abnormal Digital Rectal Examination. In: Challacombe, B., Bott, S. (eds) Diagnostic Techniques in Urology. Springer, London. https://doi.org/10.1007/978-1-4471-2766-6_3
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DOI: https://doi.org/10.1007/978-1-4471-2766-6_3
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