{"id":12680,"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":"2026-10-06T12:50:55","modified_gmt":"2026-10-06T16:50:55","slug":"exame-de-toque-retal","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/exame-de-toque-retal\/","title":{"rendered":"Exame de Toque Retal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[136],"glossary-product":[104,105],"class_list":["post-12680","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>O exame de toque retal (TR) \u00e9 um procedimento diagn\u00f3stico m\u00e9dico no qual um profissional de sa\u00fade introduz um dedo enluvado e lubrificado (\"d\u00edgito\") no reto do paciente atrav\u00e9s do \u00e2nus para examinar a parte inferior do reto, o \u00e2nus e, nos homens, a pr\u00f3stata.<span class=\"citation\">1<\/span> O procedimento permite que os m\u00e9dicos palpem e avaliem anormalidades na textura, no tamanho e no formato dessas estruturas.<span class=\"citation\">2<\/span> Durante o exame, o profissional de sa\u00fade apalpa a pr\u00f3stata em busca de qualquer altera\u00e7\u00e3o preocupante na textura, no formato ou no tamanho da gl\u00e2ndula.<span class=\"citation\">3<\/span> O exame \u00e9 normalmente r\u00e1pido e indolor, embora alguns pacientes possam sentir leve desconforto ou press\u00e3o durante o procedimento.<span class=\"citation\">1<\/span> N\u00e3o \u00e9 necess\u00e1ria nenhuma prepara\u00e7\u00e3o para este exame, e ele constitui uma importante ferramenta diagn\u00f3stica para detectar diversas condi\u00e7\u00f5es que afetam o reto, o \u00e2nus e a pr\u00f3stata.<span class=\"citation\">4<\/span><\/p>","gt-synonyms":"DRE, exame retal, exame retal, exame digital do reto, exame da pr\u00f3stata, exame retal 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>O exame de toque retal \u00e9 realizado em diversos contextos cl\u00ednicos para avaliar e diagnosticar m\u00faltiplas condi\u00e7\u00f5es.<span class=\"citation\">1<\/span> Em pacientes do sexo masculino, \u00e9 utilizado principalmente para avaliar a pr\u00f3stata em busca de sinais de hiperplasia prost\u00e1tica benigna (pr\u00f3stata aumentada), infec\u00e7\u00e3o prost\u00e1tica (prostatite) ou c\u00e2ncer de pr\u00f3stata.<span class=\"citation\">2<\/span> Embora historicamente utilizado como teste de rastreamento isolado para c\u00e2ncer de pr\u00f3stata, as evid\u00eancias atuais sugerem que sua efic\u00e1cia como ferramenta de rastreamento \u00e9 limitada, com sensibilidade combinada de 0,51 (IC 95%, 0,36\u20130,67) e especificidade de 0,59 (IC 95%, 0,41\u20130,76) quando realizado no contexto da aten\u00e7\u00e3o prim\u00e1ria.<span class=\"citation\">1<\/span><\/p>\r\n<p>Em pacientes de ambos os sexos, o TR \u00e9 utilizado para:<\/p>\r\n<ul>\r\n\t<li>Diagnosticar tumores ou anormalidades retais<span class=\"citation\">4<\/span><\/li>\r\n\t<li>Avaliar a presen\u00e7a de hemorroidas ou fissuras anais<span class=\"citation\">5<\/span><\/li>\r\n\t<li>Obter amostras fecais para pesquisa de sangue oculto (para rastreamento de sangramento gastrointestinal ou c\u00e2ncer colorretal)<span class=\"citation\">4<\/span><\/li>\r\n\t<li>Avaliar a fun\u00e7\u00e3o do esf\u00edncter anal em casos de incontin\u00eancia fecal<span class=\"citation\">4<\/span><\/li>\r\n\t<li>Investigar as causas de sangramento retal<span class=\"citation\">4<\/span><\/li>\r\n\t<li>Em mulheres, avaliar o espa\u00e7o entre a vagina e o reto<span class=\"citation\">4<\/span><\/li>\r\n<\/ul>\r\n<p>O procedimento \u00e9 normalmente realizado como parte de um exame f\u00edsico completo por m\u00e9dicos da aten\u00e7\u00e3o prim\u00e1ria, urologistas, gastroenterologistas e outros especialistas.<span class=\"citation\">5<\/span> Para a detec\u00e7\u00e3o do c\u00e2ncer de pr\u00f3stata, \u00e9 frequentemente utilizado em conjunto com o teste do ant\u00edgeno prost\u00e1tico espec\u00edfico (PSA), embora as diretrizes atuais variem quanto ao seu uso rotineiro no rastreamento do c\u00e2ncer de pr\u00f3stata.<span class=\"citation\">3<\/span> A U.S. Preventive Services Task Force n\u00e3o recomenda o TR como ferramenta prim\u00e1ria de rastreamento do c\u00e2ncer de pr\u00f3stata, enquanto outras organiza\u00e7\u00f5es o mant\u00eam como parte de suas recomenda\u00e7\u00f5es de rastreamento.<span class=\"citation\">5<\/span><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":166},"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>Exame de Toque Retal: Avalia\u00e7\u00e3o da Pr\u00f3stata | Rigicon<\/title>\n<meta name=\"description\" content=\"Entenda o exame de toque retal para avalia\u00e7\u00e3o prost\u00e1tica: t\u00e9cnica, achados cl\u00ednicos, papel no rastreamento do c\u00e2ncer de pr\u00f3stata. 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