Intended for healthcare professionals

Letters Digital rectal examination

Author’s reply

BMJ 2011; 342 doi: (Published 28 June 2011) Cite this as: BMJ 2011;342:d3960
  1. Des Spence, general practitioner1
  1. 1Glasgow G20 9DR, UK
  1. destwo{at}

I have never suggested that rectal examination has no value but merely that clinicians must know its limitations. In primary care the prevalence of rectal and lower urinary tract symptoms is high but the prevalence of sinister disease low, especially in young people. Consequently, even in those with …

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