{"id":12146,"date":"2025-07-10T09:17:09","date_gmt":"2025-07-10T13:17:09","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/digital-rectal-examination\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"tacto-rectal-examen-digital-del-recto","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/tacto-rectal-examen-digital-del-recto\/","title":{"rendered":"Tacto Rectal (Examen Digital del Recto)"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[136],"glossary-product":[104,105],"class_list":["post-12146","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-prostate-cancer-diagnostics","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p>El tacto rectal (TR) es un procedimiento diagn\u00f3stico m\u00e9dico en el que un profesional sanitario introduce un dedo enguantado y lubricado (de ah\u00ed el t\u00e9rmino \u00abdigital\u00bb) en el recto del paciente a trav\u00e9s del ano para examinar la parte inferior del recto, el ano y, en los varones, la gl\u00e1ndula prost\u00e1tica.<span class=\"citation\">1<\/span> El procedimiento permite a los profesionales cl\u00ednicos palpar estas estructuras y evaluar si presentan anomal\u00edas de textura, tama\u00f1o y forma.<span class=\"citation\">2<\/span> Durante la exploraci\u00f3n, el profesional sanitario palpa la gl\u00e1ndula prost\u00e1tica en busca de cualquier hallazgo preocupante en su textura, forma o tama\u00f1o.<span class=\"citation\">3<\/span> La exploraci\u00f3n suele ser r\u00e1pida e indolora, aunque algunos pacientes pueden notar una ligera molestia o presi\u00f3n durante el procedimiento.<span class=\"citation\">1<\/span> Esta exploraci\u00f3n no requiere preparaci\u00f3n y constituye una herramienta diagn\u00f3stica importante para detectar diversos trastornos que afectan al recto, al ano y a la pr\u00f3stata.<span class=\"citation\">4<\/span><\/p>","gt-synonyms":"DRE, examen rectal, examen rectal, examen digital del recto, examen de pr\u00f3stata, examen rectal manual","gt-citation":"[1] Naji L, Randhawa H, Sohani Z, et al. Digital Rectal Examination for Prostate Cancer Screening in Primary Care: A Systematic Review and Meta-Analysis. Ann Fam Med. 2018;16(2):149-154. DOI: 10.1370\/afm.2205\r\n\r\n[2] Cui T, Kovell RC, Terlecki RP. Is it time to abandon the digital rectal examination? Lessons from the PLCO Cancer Screening Trial and peer-reviewed literature. Curr Med Res Opin. 2016;32(10):1663-1669. DOI: 10.1080\/03007995.2016.1198312\r\n\r\n[3] Gosselaar C, Roobol MJ, Roemeling S, Schr\u00f6der FH. The role of the digital rectal examination in subsequent screening visits in the European randomized study of screening for prostate cancer (ERSPC), Rotterdam. Eur Urol. 2008;54(3):581-588. DOI: 10.1016\/j.eururo.2008.03.104\r\n\r\n[4] Hoffman RM. Screening for prostate cancer. N Engl J Med. 2011;365(21):2013-2019. DOI: 10.1056\/NEJMcp1103642\r\n\r\n[5] Catalona WJ, Richie JP, Ahmann FR, et al. Comparison of digital rectal examination and serum prostate specific antigen in the early detection of prostate cancer: results of a multicenter clinical trial of 6,630 men. J Urol. 1994;151(5):1283-1290. DOI: 10.1016\/s0022-5347(17)35233-3","gt-clinical-context":"<p>El tacto rectal se realiza en diversos contextos cl\u00ednicos para evaluar y diagnosticar m\u00faltiples trastornos.<span class=\"citation\">1<\/span> En los pacientes varones se utiliza principalmente para evaluar la gl\u00e1ndula prost\u00e1tica en busca de signos de hiperplasia benigna de pr\u00f3stata (pr\u00f3stata agrandada), infecci\u00f3n prost\u00e1tica (prostatitis) o c\u00e1ncer de pr\u00f3stata.<span class=\"citation\">2<\/span> Aunque hist\u00f3ricamente se utilizaba como prueba de cribado independiente del c\u00e1ncer de pr\u00f3stata, los datos actuales indican que su eficacia como herramienta de cribado es limitada, con una sensibilidad combinada de 0,51 (IC del 95%: 0,36\u20130,67) y una especificidad de 0,59 (IC del 95%: 0,41\u20130,76) cuando se realiza en atenci\u00f3n primaria.<span class=\"citation\">1<\/span><\/p>\r\n<p>Tanto en hombres como en mujeres, el TR se utiliza para:<\/p>\r\n<ul>\r\n\t<li>Diagnosticar tumores o anomal\u00edas rectales<span class=\"citation\">4<\/span><\/li>\r\n\t<li>Evaluar la presencia de hemorroides o fisuras anales<span class=\"citation\">5<\/span><\/li>\r\n\t<li>Obtener muestras de heces para la prueba de sangre oculta (para el cribado de hemorragia digestiva o c\u00e1ncer colorrectal)<span class=\"citation\">4<\/span><\/li>\r\n\t<li>Evaluar la funci\u00f3n del esf\u00ednter anal en casos de incontinencia fecal<span class=\"citation\">4<\/span><\/li>\r\n\t<li>Investigar las causas de un sangrado rectal<span class=\"citation\">4<\/span><\/li>\r\n\t<li>En las mujeres, evaluar el espacio entre la vagina y el recto<span class=\"citation\">4<\/span><\/li>\r\n<\/ul>\r\n<p>El procedimiento suele realizarse como parte de una exploraci\u00f3n f\u00edsica completa por parte de m\u00e9dicos de atenci\u00f3n primaria, ur\u00f3logos, gastroenter\u00f3logos y otros especialistas.<span class=\"citation\">5<\/span> Para la detecci\u00f3n del c\u00e1ncer de pr\u00f3stata, a menudo se utiliza junto con la prueba del ant\u00edgeno prost\u00e1tico espec\u00edfico (PSA), aunque las gu\u00edas actuales difieren en cuanto a su uso rutinario en el cribado del c\u00e1ncer de pr\u00f3stata.<span class=\"citation\">3<\/span> El U.S. Preventive Services Task Force no recomienda el TR como herramienta primaria de cribado del c\u00e1ncer de pr\u00f3stata, mientras que otras organizaciones lo mantienen como parte de sus recomendaciones de cribado.<span class=\"citation\">5<\/span><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":164},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Tacto Rectal (Examen Digital del Recto) (DRE)<\/title>\n<meta name=\"description\" content=\"El tacto rectal (examen digital del recto) es una exploraci\u00f3n f\u00edsica clave para 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