Prostate and rectal examination is the simplest and necessary examination method for BPH. It is mainly to understand the shape, size and hardness of the prostate, whether the surface is smooth, whether there are nodules and tenderness, whether the central groove exists, becomes shallow or disappears, and the gland Whether the body is fixed, whether the palpation is sensation, etc., and the anal sphincter, rectum and seminal vesicle are also known.Basic Information
Specialist classification: male examination inspection classification: other inspection
Applicable gender: whether the male is fasting: not fastingTips: Prostate patients should first empty their urine before checking. Normal value
The prostate is like chestnut size, indicating regular, no induration and pliable areas.Clinical significance
1, I degree hyperplasia prostate enlarges like eggs.
2, II degree hyperplasia of the prostate enlarges like duck eggs.
3, III degree hyperplasia of the prostate enlarges like a goose egg.
Chronic prostatitis often shows focal changes. In the prostate prostate examination, the surface of the prostate is often found to be irregular, and at the same time, it can reach the localized induration and localized flexible region.
People who need to be examined: patients with benign prostatic hyperplasia and chronic prostatitis.Precautions
Contraindications before examination: Prostate patients should first empty their urine before examination.
Requirements for inspection:
1, the size of the prostate is estimated to be the actual size of the prostate is not necessarily its actual volume, such as the mid-lobe hyperplasia, the gland into the bladder, the prostate is not obvious when the rectal examination. If the prostate is increased in hardness during rectal examination, the surface is uneven, and there is suspicious induration. The hospital should be recommended for needle aspiration cytology to exclude prostate cancer, etc., and to check the contractile function of the anal sphincter, pay attention to the neurogenic bladder. Identification of urethral dysfunction.
2, the best position during the examination is the knee chest position; but can also stand, the abdomen close to the side of the examination table bent over for examination, elderly or frail or seriously ill patients can take supine or lateral position.Inspection process
Prostate finger test method: the prostate friend first evacuates the urine, the best position is the knee chest position; but can also stand, the abdomen is bent close to the side of the examination table for examination, the elderly frail or seriously ill patients can take supine or side Lying position. The inspector wears gloves or finger cots and applies lubricant. The patient's mouth is relaxed. The index finger is gently pressed against the anus and slowly extends into the deep rectum for examination. The order of examination is prostate, seminal vesicle, rectum and anus.
Recording method of prostate hyperplasia: normal prostate, such as chestnut size, flat, clear edge, tough, uniform and elastic, no nodules or tenderness, the central groove is slightly concave, the leaves on both sides are symmetrical, and the movement is slightly active. In the case of benign prostatic hyperplasia, the gland can be enlarged in length and width, the surface is smooth, the edge is clear, the texture is medium-hard and elastic, and the central groove becomes shallow, disappears or bulges.
Clinically, a common method for describing gland size in prostate hyperplasia:
1. Normal size: The prostate is like the size of a chestnut.
2.I degree hyperplasia: the prostate enlarges like an egg.
3. II degree hyperplasia: the prostate enlarges like duck eggs.
4. III degree hyperplasia: the prostate enlarges like a goose egg.
It must be noted that the size of the prostate estimated by the prostate is not necessarily the actual volume, such as the middle lobe hyperplasia, the gland protruding into the bladder, and the enlargement of the prostate during the rectal examination is not obvious. If the prostate is increased in hardness during rectal examination, the surface is uneven, and there is suspicious induration. The hospital should be recommended for needle aspiration cytology to exclude prostate cancer, etc., and to check the contractile function of the anal sphincter, pay attention to the neurogenic bladder. Identification of urethral dysfunction.Not suitable for the crowd
There are no special taboos.Adverse reactions and risks
No related complications or hazards.