Digital Rectal Examination Standardization for Inexperienced Hands: Teaching Medical Students
Objectives. To standardize digital rectal examination (DRE) and set how it correlates with the comprehensive evaluation of lower urinary tract symptoms (LUTS). Methods. After scaled standardization of DRE based on fingertips graphical schema: 10 cubic centimeters—cc for each fingertip prostate surfa...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2013/797096 |
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| _version_ | 1832556735057887232 |
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| author | Leonardo Oliveira Reis Antonio Felipe Leite Simão Jamal Baracat Fernandes Denardi Antonio Gugliotta |
| author_facet | Leonardo Oliveira Reis Antonio Felipe Leite Simão Jamal Baracat Fernandes Denardi Antonio Gugliotta |
| author_sort | Leonardo Oliveira Reis |
| collection | DOAJ |
| description | Objectives. To standardize digital rectal examination (DRE) and set how it correlates with the comprehensive evaluation of lower urinary tract symptoms (LUTS). Methods. After scaled standardization of DRE based on fingertips graphical schema: 10 cubic centimeters—cc for each fingertip prostate surface area on DRE, four randomly selected senior medical students examined 48 male patients presenting with LUTS in an outpatient clinical setting, totaling 12 DRE each. Standardized DRE, international prostate symptom score (IPSS), serum PSA, transabdominal ultrasound (US), urodynamic evaluation, and postvoid residue were compared. Results. The mean and median PVs were US—45 and 34.7 cc (5.5 to 155) and DRE—39 and 37.5 cc (15 to 80). Comparing DRE and US by simple linear regression: US PV = 11.93 + 0.85 × (DRE PV); P=0.0009. Among patients classified as nonobstructed, inconclusive, and obstructed, the US PVs were 29.8, 43.2, and 53.6 cc (P=0.033), and DRE PVs were 20, 35, and 60 cc (P=0.026), respectively. Conclusion. This is the first attempt to DRE standardization focusing on teaching-learning process, establishing a linear correlation of DRE and US PVs with only 12 examinations by inexperienced hands, satisfactorily validated in an outpatient clinical setting. |
| format | Article |
| id | doaj-art-39d6750cfbe04e2f9d27dd0454138ffe |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-39d6750cfbe04e2f9d27dd0454138ffe2025-02-03T05:44:29ZengWileyAdvances in Urology1687-63691687-63772013-01-01201310.1155/2013/797096797096Digital Rectal Examination Standardization for Inexperienced Hands: Teaching Medical StudentsLeonardo Oliveira Reis0Antonio Felipe Leite Simão1Jamal Baracat2Fernandes Denardi3Antonio Gugliotta4Faculty of Medical Sciences, University of Campinas, Unicamp, Rua Tessália Vieira de Camargo 126, Cidade Universitária “Zeferino Vaz”, 13083-887 Campinas, SP, BrazilFaculty of Medical Sciences, University of Campinas, Unicamp, Rua Tessália Vieira de Camargo 126, Cidade Universitária “Zeferino Vaz”, 13083-887 Campinas, SP, BrazilFaculty of Medical Sciences, University of Campinas, Unicamp, Rua Tessália Vieira de Camargo 126, Cidade Universitária “Zeferino Vaz”, 13083-887 Campinas, SP, BrazilFaculty of Medical Sciences, University of Campinas, Unicamp, Rua Tessália Vieira de Camargo 126, Cidade Universitária “Zeferino Vaz”, 13083-887 Campinas, SP, BrazilFaculty of Medical Sciences, University of Campinas, Unicamp, Rua Tessália Vieira de Camargo 126, Cidade Universitária “Zeferino Vaz”, 13083-887 Campinas, SP, BrazilObjectives. To standardize digital rectal examination (DRE) and set how it correlates with the comprehensive evaluation of lower urinary tract symptoms (LUTS). Methods. After scaled standardization of DRE based on fingertips graphical schema: 10 cubic centimeters—cc for each fingertip prostate surface area on DRE, four randomly selected senior medical students examined 48 male patients presenting with LUTS in an outpatient clinical setting, totaling 12 DRE each. Standardized DRE, international prostate symptom score (IPSS), serum PSA, transabdominal ultrasound (US), urodynamic evaluation, and postvoid residue were compared. Results. The mean and median PVs were US—45 and 34.7 cc (5.5 to 155) and DRE—39 and 37.5 cc (15 to 80). Comparing DRE and US by simple linear regression: US PV = 11.93 + 0.85 × (DRE PV); P=0.0009. Among patients classified as nonobstructed, inconclusive, and obstructed, the US PVs were 29.8, 43.2, and 53.6 cc (P=0.033), and DRE PVs were 20, 35, and 60 cc (P=0.026), respectively. Conclusion. This is the first attempt to DRE standardization focusing on teaching-learning process, establishing a linear correlation of DRE and US PVs with only 12 examinations by inexperienced hands, satisfactorily validated in an outpatient clinical setting.http://dx.doi.org/10.1155/2013/797096 |
| spellingShingle | Leonardo Oliveira Reis Antonio Felipe Leite Simão Jamal Baracat Fernandes Denardi Antonio Gugliotta Digital Rectal Examination Standardization for Inexperienced Hands: Teaching Medical Students Advances in Urology |
| title | Digital Rectal Examination Standardization for Inexperienced Hands: Teaching Medical Students |
| title_full | Digital Rectal Examination Standardization for Inexperienced Hands: Teaching Medical Students |
| title_fullStr | Digital Rectal Examination Standardization for Inexperienced Hands: Teaching Medical Students |
| title_full_unstemmed | Digital Rectal Examination Standardization for Inexperienced Hands: Teaching Medical Students |
| title_short | Digital Rectal Examination Standardization for Inexperienced Hands: Teaching Medical Students |
| title_sort | digital rectal examination standardization for inexperienced hands teaching medical students |
| url | http://dx.doi.org/10.1155/2013/797096 |
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