II. Technique: Finger Insertion
- Lubricate gloved index finger
- Patient bears down as if straining at stool
- Gently insert finger after sphincter relaxes
III. Technique: Evaluation
- Assessment of 360 degree sweep of Rectum
- Anal sphincter tone
- Tenderness
- Nodularity or masses
- Assessment of anterior Prostate surface (males)
- Evaluate lateral lobes of Prostate
- Normal Prostate is Rubbery, non-tender
- Assess for nodularity (Prostate Cancer)
- Evaluate median sulcus
- Absent sulcus suggests Benign Prostatic Hypertrophy
- Evaluate lateral lobes of Prostate
IV. Technique: Completing Examination
- Observe for grossly bloody stool
- Test for Stool Occult Blood