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Male Rectal Finger Examination


Male Rectal Finger Examination

Rectal examination is the main procedure that is necessary for urological examination and identification of pathological processes of the prostate gland. The prostate is a glandular organ of the male body that is highly susceptible to negative factors.



Basics of finger examination


A digital rectal examination is performed by probing the prostate with your fingers. To do this, a finger is inserted into the rectum of a man who consulted a urologist complaining of pain and discomfort in the posterior canal and perineum. Rectal examination allows for diagnostics to prescribe effective treatment.


The considered diagnostic method allows for examination without instrumental examinations, which prevents the risk of injury and pain when testing the prostate in other ways.


A digital rectal examination is as follows:



Whom such examination is shown to


Rectal examination is carried out according to the testimony of a specialist when:



  • complaints of painful symptoms in the lower peritoneum;
  • impaired functionality of the intestines, urinary and genital organs;
  • pain in the anal canal;
  • discomfort during bowel movements;
  • to determine the method of therapy;
  • for prophylaxis (rectal massage);

Rectal massage is performed not only for research, with the help of this procedure you can take an analysis of prostatic juice.


After a digital examination, the specialist makes a decision to prescribe other methods for diagnosing the prostate gland, among which are marked: anascopy, rectoscopy, colonoscopy.



What can be determined after a rectal examination


During digital diagnostics, it is possible to recognize the texture of the tissue of the glandular organ and the mucous membrane of the rectum, determine the tone of the anal canal, the characteristic possibilities of further research, the condition of the rectum, the size of the prostate, the presence of nodular seals, and also take the analysis of prostatic juice for bacteriological examination.< / p>

During the diagnosis, it is possible to reveal the occurrence of benign and malignant neoplasms, polyps, anal fissures, foreign bodies, inflammatory infiltrates.



Carrying out inspection


Rectal diagnosis is performed in several patient positions:



  • lying on its side with bent knees pressed tightly to the chest - such an examination reveals pathologies of the rectum and the presence of formations;
  • the knee-elbow position is recommended to identify the degree and shape of tumors with trauma to the intestinal mucous membranes;
  • a posture lying on the back with bent legs is suggested for examinations for inflammatory processes in the urinary and genital area of the female body to detect peritonitis, abscess.

Rectal examination is performed in several ways:



  • One-finger examination - the urologist lubricates the finger (index), which easily penetrates the rectum for palpation. With such an examination, it is possible to diagnose the condition of the anal canal, detect neoplasms, examine the internal genital organs and the prostate. Using the examination method, one finger probes the sacrum with the coccyx, since in some cases pain in the groin, at the bottom of the peritoneum, can be triggered by injury to the lower spine. After removing the finger, the mucus remaining on it is examined. Sometimes there are traces of pus, blood, other pathological secretions.
  • Two-finger examination - one finger penetrates into the rectum, with the other finger pressing in the pubic area. In this way, you can recognize a pathological process, tumors of the upper section in the rectum or in organs located in the small pelvis. Two-finger examination can reveal the mobility of the walls of the rectum in relation to the female vagina.
  • Two-handed examination - this method does not differ from two-finger examination. When a male health condition is diagnosed, a finger examination is performed through the anal passage. The female body can be diagnosed by penetration into the vagina. This method is used when there is a suspicion of an oncological process on the anterior wall of the rectum.

Rectal massage of the prostate gland is carried out both for examination and for the purpose of effective treatment and prevention of the glandular organ. Of course, some patients do not want to seek the help of a specialist for massage sessions, and resort to the help of massagers. Such devices are sold in the pharmacy network, however, their use is possible only if permitted by a specialized specialist.


Digital rectal testing is an urgently needed procedure that cannot be ignored. For every proctologist, such an examination is an important component for diagnosing diseases. Digital diagnostics may have contraindications, which include severe pain syndrome, a sharp narrowing of the anal canal, infectious prostatitis, acute course. In infectious pathologies, antibiotic therapy is first performed, and then a rectal examination is prescribed for further prescription of effective therapy.


Patients with chronic prostatitis undergo prostate massage annually. This is necessary for prevention.