Colon Cancer, Diverticulitis, Hernia, Rectal Bleeding, Upper Rectum Cancer
Conditions
Keywords
rectal examination, colorectal cancer
Brief summary
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.
Interventions
PROCEDURElateral decubitus
PROCEDUREsupine decubitus
Sponsors
Centre Hospitalier Universitaire, Amiens
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| realization of a full digital rectal examination | The consult could be done prior to the surgery or one month after the surgery | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| assessment of sphincter according to the DRESS score | The consult can be performed prior to the surgery or one month after the surgery | 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) |
| missing information during the rectal examination | The consult can be performed prior to the surgery or one month after the surgery | 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) |
| Conversion rate decided by the examiner | The consult can be performed prior to the surgery or one month after the surgery | the conversion rate decided by the examiner corresponds to the switch from one position to another |
| Evaluation of the position by the patient | The consult can be performed prior to the surgery or one month after the surgery | 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? |
Countries
France
Outcome results
None listed