{"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":"2025-07-10T09:17:09","modified_gmt":"2025-07-10T13:17:09","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>Um exame retal digital (DRE) \u00e9 um procedimento de diagn\u00f3stico m\u00e9dico no qual um profissional de sa\u00fade insere 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 apalpem e avaliem anormalidades na textura, tamanho e forma dessas estruturas.<span class=\"citation\">2<\/span> Durante o exame exame, o m\u00e9dico apalpa a pr\u00f3stata para detectar qualquer coisa relacionada \u00e0 textura, forma ou tamanho da gl\u00e2ndula.<span class=\"citation\">3<\/span> O exame \u00e9 normalmente r\u00e1pido e indolor, embora alguns pacientes possam sentir um leve desconforto ou press\u00e3o durante o procedimento.<span class=\"citation\">1<\/span> Nenhuma prepara\u00e7\u00e3o \u00e9 necess\u00e1ria para este exame e serve como uma importante ferramenta de diagn\u00f3stico para detectar v\u00e1rias condi\u00e7\u00f5es que afetam o reto, \u00e2nus e pr\u00f3stata.<span class=\"citation\">4<\/span><\/p>\n<p>O exame de toque retal (ETR) \u00e9 a palpa\u00e7\u00e3o digital da pr\u00f3stata atrav\u00e9s do reto, sendo um componente fundamental da avalia\u00e7\u00e3o urol\u00f3gica. Permite avaliar o tamanho, a consist\u00eancia, a simetria, a superf\u00edcie e a presen\u00e7a de n\u00f3dulos na pr\u00f3stata. \u00c9 utilizado no rastreamento do c\u00e2ncer de pr\u00f3stata (complementar ao PSA), na avalia\u00e7\u00e3o da hiperplasia prost\u00e1tica benigna e no diagn\u00f3stico de prostatite.<\/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\n\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\n\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\n\n[4] Hoffman RM. Screening for prostate cancer. N Engl J Med. 2011;365(21):2013-2019. DOI: 10.1056\/NEJMcp1103642\n\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 retal digital \u00e9 realizado em v\u00e1rios contextos cl\u00ednicos para avaliar e diagnosticar m\u00faltiplas condi\u00e7\u00f5es.<span class=\"citation\">1<\/span> Em pacientes do sexo masculino, \u00e9 usado principalmente para avaliar a pr\u00f3stata em busca de sinais de hiperplasia prost\u00e1tica benigna (pr\u00f3stata aumentada), infec\u00e7\u00e3o da pr\u00f3stata (prostatite) ou c\u00e2ncer de pr\u00f3stata.<span class=\"citation\">2<\/span> Embora historicamente usado como um teste de rastreamento independente para c\u00e2ncer de pr\u00f3stata, as evid\u00eancias atuais sugerem que sua efic\u00e1cia como ferramenta de rastreamento \u00e9 limitada, com uma sensibilidade combinada de 0,51 (IC 95%, 0,36\u20130,67) e especificidade de 0,59 (IC 95%, 0,41\u20130,76) quando realizado em ambientes de aten\u00e7\u00e3o prim\u00e1ria.<span class=\"citation\">1<\/span><\/p>\n<p>Em pacientes do sexo masculino e feminino, o toque retal \u00e9 usado para:<\/p>\n<ul>\n\t<li>Diagnosticar tumores ou anomalias retais<span class=\"citation\">4<\/span><\/li>\n\t<li>Avalie hemorr\u00f3idas ou fissuras anais<span class=\"citation\">5<\/span><\/li>\n\t<li>Obter amostras fecais para exames de sangue oculto (para rastrear sangramento gastrointestinal ou c\u00e2ncer colorretal)<span class=\"citation\">4<\/span><\/li>\n\t<li>Avaliar a fun\u00e7\u00e3o do esf\u00edncter anal em casos de incontin\u00eancia fecal<span class=\"citation\">4<\/span><\/li>\n\t<li>Verifique as causas do sangramento retal<span class=\"citation\">4<\/span><\/li>\n\t<li>Nas mulheres, avalie o espa\u00e7o entre a vagina e o reto<span class=\"citation\">4<\/span><\/li><\/ul>\n<p>O procedimento normalmente \u00e9 realizado como parte de um exame f\u00edsico abrangente por prestadores de cuidados prim\u00e1rios, urologistas, gastroenterologistas e outros especialistas.<span class=\"citation\">5<\/span> Para detec\u00e7\u00e3o de c\u00e2ncer de pr\u00f3stata, \u00e9 frequentemente usado em conjunto com testes de ant\u00edgeno prost\u00e1tico espec\u00edfico (PSA), embora as diretrizes atuais variem em rela\u00e7\u00e3o ao seu uso rotineiro para rastreamento de c\u00e2ncer de pr\u00f3stata.<span class=\"citation\">3<\/span> A For\u00e7a-Tarefa de Servi\u00e7os Preventivos dos EUA n\u00e3o recomenda o toque retal como ferramenta prim\u00e1ria de rastreamento para c\u00e2ncer de pr\u00f3stata, enquanto outras organiza\u00e7\u00f5es o mant\u00eam como parte de suas recomenda\u00e7\u00f5es de triagem.<span class=\"citation\">5<\/span><\/p>\n<p>A EAU 2023 recomenda o ETR como parte da avalia\u00e7\u00e3o inicial de homens com STUI ou suspeita de doen\u00e7a prost\u00e1tica. Achados suspeitos incluem n\u00f3dulos endurecidos, assimetria ou indura\u00e7\u00e3o, que indicam bi\u00f3psia independentemente do valor do PSA. O ETR tem sensibilidade de 50-60% para c\u00e2ncer de pr\u00f3stata, detectando tumores perif\u00e9ricos que podem n\u00e3o elevar o PSA. A combina\u00e7\u00e3o de ETR e PSA aumenta a detec\u00e7\u00e3o de c\u00e2ncer clinicamente significativo.<\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":94},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.8) - 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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