Urological examinations —
Digital rectal examination (DRE)
of the prostate
The digital rectal examination (DRE) is an important method for assessing the prostate and rectum. It is often used in patients with urological symptoms to check the structure and consistency of the prostate and the surrounding tissue. The aim of the examination is to obtain initial indications of possible pathological changes by palpating the prostate, which could require further diagnostic measures.
DRE involves a manual examination of the prostate and rectum using a finger. This method makes it possible to assess the size, shape, consistency, hardening, tenderness and fluid movements (fluctuation) of the prostate. In addition, the rectum and anal canal are examined for bleeding, lumps, hemorrhoids and mucosal tears.
The patient lies on his side with legs bent. The doctor performs the examination carefully and uses a sterile, disinfectant and local anesthetic lubricant such as Instillagel® for pain relief and disinfection. Provided there are no injuries to the anal mucosa or inflammation of the prostate, the DRE is usually painless. Although the palpation cannot detect all changes in the prostate, it provides the doctor with an initial orientation for possible further diagnostic steps.
Summary
Digital rectal examination of the prostate is a simple, quick and usually painless method for initial assessment of the prostate and rectum. It provides important information on possible pathological changes and helps to determine the further diagnostic procedure.