Journal article
Cross-leg lithotomy: is it a better position for digital rectal examination of the prostate?
Journal of clinical urology, Vol.6(5), pp.311-316
09/01/2013
DOI: 10.1016/j.bjmsu.2012.06.006
Abstract
Objectives: 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.
Details
- Title: Subtitle
- Cross-leg lithotomy: is it a better position for digital rectal examination of the prostate?
- Creators
- Deepak Sharanappa Nagathan - King George's Medical UniversityDivakar Dalela - King George's Medical UniversitySatyanarayan Sankhwar - King George's Medical UniversityApul Goel - King George's Medical UniversityAmod Kumar Dwivedi - King George's Medical UniversityRahul Yadav - King George's Medical UniversityDeepansh Dalela - King George's Medical UniversityDheeraj Kumar Gupta - King George's Medical UniversitySwarnendu Mandal - King George's Medical University
- Resource Type
- Journal article
- Publication Details
- Journal of clinical urology, Vol.6(5), pp.311-316
- DOI
- 10.1016/j.bjmsu.2012.06.006
- ISSN
- 2051-4158
- eISSN
- 2051-4166
- Publisher
- Sage
- Number of pages
- 6
- Language
- English
- Date published
- 09/01/2013
- Academic Unit
- Urology
- Record Identifier
- 9984949189902771
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