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Post by gato on Jan 22, 2024 12:37:35 GMT -5
A study published in the journal European Uroology Oncology, suggests that the pants-dropping DRE may be on the way out as a cancer diagnostic method.
"The current study opens a discussion about the effectiveness and benefits of DRE in the early detection of prostate cancer.
1. DRE is a highly subjective test, compromising its effectiveness.
2. The validity of rectal examination in detecting prostate cancer is not particularly impressive.
3. The data suggested that the combination of DRE and PSA for prostate cancer screening had no significant benefit over PSA alone in terms of predicting and detecting cancer.
4. Around 18% of the tumors are located in the part of the prostate where DRE cannot detect them."
Not that long ago, it would have been considered a serious lapse of practice not to perform a DRE, but things have changed considerably over the past several years.
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Post by Auf Kiltre on Jan 22, 2024 12:45:25 GMT -5
There are more clinical reasons for a DRE than detecting cancer, even if the PSA is in range. BPH (Benign prostatic hyperplasia) being the other. The problem I have with the latter is urologists seem to take a questionable approach. I've been put on a month long regimen of antibiotics to rule out a bacterial cause for BPH. The specific antibiotic he initially prescribed made feel like I was going to crawl out of my skin.
Really, is there no other way?
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Post by Mfitz804 on Jan 22, 2024 12:55:42 GMT -5
As my doctor said when I questioned him about who it wasn’t necessary, “I’ll do it if you really want me to”. I did not really want him to.
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Post by gato on Jan 22, 2024 13:04:43 GMT -5
As my doctor said when I questioned him about who it wasn’t necessary, “I’ll do it if you really want me to”. I did not really want him to. "I'll do it if you really want me to." Something the wife says after ten years of marriage. The correct response, of course, is "never mind, I've seen you operate the blender." |
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Post by Auf Kiltre on Jan 22, 2024 13:04:58 GMT -5
I've recounted this before, but the weirdest DRE I ever had was by nurse practioner Jamie, who had extraordinarily long blue sparkle fingernails.
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Post by gato on Jan 22, 2024 13:08:41 GMT -5
I've recounted this before, but the weirdest DRE I ever had was by nurse practioner Jamie, who had extraordinarily long blue sparkle fingernails. Are you sure that wasn't nurse practitioner Johnny? |
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Post by Taildragger on Jan 22, 2024 13:21:55 GMT -5
On the verge of receiving a DRE, I often tell the doc, "watch yourself: I kick like a mule"...
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Post by Taildragger on Jan 22, 2024 13:28:36 GMT -5
I did not really want him to. (With apologies to Dr. Seuss): Would you like a DRE? I do not like those, Sam-you-see. I do not like those DREs. Would you like one, here or there? I would not like one, here or there. I would not like one, anywhere. I do not like those DREs. I do not like them, Sam-you-see. |
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Post by gato on Jan 22, 2024 13:46:25 GMT -5
Doctor Todd Rundgren
"Hello, it's me ......
I've thought about this for a long, long time..."
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Post by Auf Kiltre on Jan 22, 2024 13:52:46 GMT -5
I've recounted this before, but the weirdest DRE I ever had was by nurse practioner Jamie, who had extraordinarily long blue sparkle fingernails. Are you sure that wasn't nurse practitioner Johnny? Well you never know, but Jamie did declare that she/they were capable of performing both a DRE and providing a stool sample at the same time. (I'm serious)😆 |
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Post by gato on Jan 22, 2024 14:03:27 GMT -5
Are you sure that wasn't nurse practitioner Johnny? Well you never know, but Jamie did declare that she/they were capable of performing both a DRE and providing a stool sample at the same time. (I'm serious)😆 A couple of years ago at a doctor appointment, the Doc wanted to know if he should send me home with a mail-in fecal test, or have me provide a stool sample right there. For just a second I flashed on "Blazing Saddles," but then opted for the mail-in test. |
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Post by Laker on Jan 22, 2024 21:20:43 GMT -5
Back in my pre-removal days I made one visit to my urologist for the annual checkup with DRE and was very surprised when this cute, sexy, bubbly nurse practitioner presented herself for my checkup (she could have been a Playboy centerfold). I don’t think she thought it was funny when she finished the DRE and I said, “I don’t know about you, but I could go for a cigarette”.
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Post by Mfitz804 on Jan 22, 2024 22:34:04 GMT -5
Back in my pre-removal days I made one visit to my urologist for the annual checkup with DRE and was very surprised when this cute, sexy, bubbly nurse practitioner presented herself for my checkup (she could have been a Playboy centerfold). I don’t think she thought it was funny when she finished the DRE and I said, “I don’t know about you, but I could go for a cigarette”. That probably gets you banned from the office for life in today’s environment. |
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Post by Ragtop on Jan 23, 2024 4:31:47 GMT -5
My doctor is a friend, and we play golf. One morning on his day off we were teeing off on #1 and he said, "Man, what a beautiful morning. And I don't have to stick my finger up anyone's butt ALL day!"
He is of the opinion that the DRE is, in most cases, a waste of time.
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Post by Auf Kiltre on Jan 23, 2024 8:53:09 GMT -5
After having labs, a DRE, a scrotal ultrasound (interesting experience🙄) and a variety of medicinal treatment my Uro doc basically said "you're in your mid 60's, you'll never be healthier than you are today."
I found that last part a bit brash. What if I lose weight, exercise more and start eating better? My Uro doc is a bit of a part of the anatomy he specializes in.
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Post by gato on Jan 23, 2024 9:09:01 GMT -5
After having labs, a DRE, a scrotal ultrasound (interesting experience🙄) and a variety of medicinal treatment my Uro doc basically said "you're in your mid 60's, you'll never be healthier than you are today." I found that last part a bit brash. What if I lose weight, exercise more and start eating better? My Uro doc is a bit of a part of the anatomy he specializes in. Scrotal ultrasound? Sounds intriguing. Could it be accomplished by using a guitar talk box? (I'm asking for a friend) |
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Post by Auf Kiltre on Jan 23, 2024 9:54:13 GMT -5
After having labs, a DRE, a scrotal ultrasound (interesting experience🙄) and a variety of medicinal treatment my Uro doc basically said "you're in your mid 60's, you'll never be healthier than you are today." I found that last part a bit brash. What if I lose weight, exercise more and start eating better? My Uro doc is a bit of a part of the anatomy he specializes in. Scrotal ultrasound? Sounds intriguing. Could it be accomplished by using a guitar talk box? (I'm asking for a friend) No, but "Do you feel like I do?" could have been a legitimate question to ask the female tech. |
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Bopper
Wholenote
Motor City USA
Posts: 505
Age: 72
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Post by Bopper on Jan 23, 2024 10:06:01 GMT -5
Yesterday I had a Medicare-compliant "wellness exam," with no DRE. Which is OK with me if it's OK with the doc.
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Post by Taildragger on Jan 23, 2024 12:27:16 GMT -5
Could it be accomplished by using a guitar talk box? (I'm asking for a friend) Only if used in conjunction with an AutoTune... |
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Post by gato on Jan 23, 2024 15:05:06 GMT -5
Could it be accomplished by using a guitar talk box? (I'm asking for a friend) Only if used in conjunction with an AutoTune... I'm reminded of that old Roberta Flack song, "Scrotal me Softly." |
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