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Rectal examination is an important part of holistic assessment

  1. Kevin Barrett, general practitioner
  1. New Road Surgery, Rickmansworth, UK
  1. kevin.barrett{at}nhs.net

 Leading urologists have called for an end to the routine use of the digital rectal examination, but it is still an important part of the holistic assessment of patients.1 As access to diagnostic tests in the NHS continues to be a problem, the combination of a borderline concentration of prostate specific antigen together with a prostate that feels abnormal on examination should help fast track …

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