In:
Journal of Clinical Urology, SAGE Publications, Vol. 6, No. 5 ( 2013-09), p. 311-316
Abstract:
To evaluate whether “cross-leg lithotomy” (CL) is better position for digital rectal examination (DRE) than left lateral (LL) position from urologist and patient's perspective. Materials and methods Two urologists performed DRE in 120 patients in LL and CL positions. Each patient was randomised, sequentially examined in both positions and responses were objectively assessed using a questionnaire and statistically analysed. Results Men found DRE uncomfortable [LL (81.7%), CL (85.0%)] and embarrassing [LL: (81.7%), CL (78.3%)] in both the positions. DRE was painful [LL (11.7%), CL (8.3%)] with a mean pain score of 1.92 and 1.85 respectively. Patient apprehension regarding pain was significantly higher [LL (62.5%) vs. CL (21.7%), p 〈 0.001] in LL position. Overall, men preferred CL to LL position [CL (78.3%), LL (21.75%), p 〈 0.001] for DRE. From urologist perspective, the extent of prostate felt in CL position was significantly higher (CL: 11.15 ± 1.96/12 vs. LL: 9.25 ± 2.50/12, p 〈 0.001). Withdrawal response was significantly higher in LL and urologist had to sit down to perform DRE in LL position. Conclusions Men preferred CL to LL position for DRE and CL allowed more complete examination of the prostate from urologist perspective. CL position is a better alternative for performing DRE of the prostate.
Type of Medium:
Online Resource
ISSN:
2051-4158
,
2051-4166
DOI:
10.1016/j.bjmsu.2012.06.006
Language:
English
Publisher:
SAGE Publications
Publication Date:
2013
detail.hit.zdb_id:
2753851-5
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