Topic summary

Rectal examination

Rectal examination

Medical assessment or diagnostic procedure Medical intervention Rectal examinationSide view of male reproductive and urinary anatomy, including the prostate, rectum and bladder, with an index finger probing the anusICD-9-CM89.34MeSHD051517MedlinePlus007069 Digital rectal examination (DRE), also known as a prostate exam (Latin: palpatio per anum (PPA), lit. 'palpation through the anus'), is an internal examination of the rectum performed by a healthcare provider. Prior to a 2018 report from the United States Preventive Services Task Force, a digital exam was a common component of annual medical examination for older men, as it was thought to be a reliable screening test for prostate cancer. Usage This examination may be used: for the diagnosis of prostatic disorders, benign prostatic hyperplasia and the four types of prostatitis. Chronic prostatitis/chronic pelvic pain syndrome, chronic bacterial prostatitis, acute (sudden) bacterial prostatitis, and asymptomatic inflammatory prostatitis. The DRE has a 50% specificity for benign prostatic hyperplasia. Vigorous examination of the prostate in suspected acute prostatitis can lead to seeding of septic emboli and should never be done. It