Informativeness to Digital Rectal Examination

Centre Hospitalier Universitaire, Amiens320 enrolled

Overview

Digital rectal examination is an act clinically performed daily by physicians and surgeons. It remains the key diagnostic test and directs the therapeutic management of cancer of the lower and middle rectum. It can be done in two main positions: lateral decubitus, and supine. However, no randomized study in colorectal surgery is not interested in evaluating the best position to perform a full rectal exam.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

320

Conditions

Colon Cancer Upper Rectum Cancer Diverticulitis Rectal Bleeding Hernia

Interventions

lateral decubitusPROCEDURE

supine decubitusPROCEDURE

Eligibility

Sex: MALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * colon or upper rectum cancer operated or not * recurrent of colon or upper rectum cancer * rectal bleeding * hernia Exclusion Criteria: * woman * paraplegic man * bedridden patient * current or previous pelvic radiotherapy * History of prostatectomy * emergency

Locations (2)

Amiens Universitary Hospital

Amiens, France

Beauvais General Hospital

Beauvais, France

Outcomes

Primary Outcomes

realization of a full digital rectal examination

Full digital rectal examination is defined by a rectal examination for investigating the superior pole of the prostate, to examine the entire circumference and the rectal sphincter.

Time frame: The consult could be done prior to the surgery or one month after the surgery

Secondary Outcomes

assessment of sphincter according to the DRESS score

This score assesses the sphincter tone at rest and during exercise. This score classes the sphincter tone in both situations: tone undetectable (score = 0) to hypertonic sphincter that does not allow the introduction of a finger (score = 5)

Time frame: The consult can be performed prior to the surgery or one month after the surgery

missing information during the rectal examination

This analysis aims to determine what information is missing most often in one group compared to another (height to digital rectal examination, circumference of the digital rectal examination , assessment of sphincter tone)

Time frame: The consult can be performed prior to the surgery or one month after the surgery

Conversion rate decided by the examiner

the conversion rate decided by the examiner corresponds to the switch from one position to another

Time frame: The consult can be performed prior to the surgery or one month after the surgery

Evaluation of the position by the patient

After the digital rectal examination, the examiner shows the patient a picture of the two positions and ask him the question: which position is the most embarrassing?

Time frame: The consult can be performed prior to the surgery or one month after the surgery

Data from ClinicalTrials.gov

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