Clinical examination of the rectum

Rectal examination is an essential part of the abdominal and urological examinations. (1)

Embarrassment is avoided by explaining to the patient the importance of examination and outlining the steps involved.

When you carry out a rectal examination, you should, wherever possible, offer the patient the option of having a chaperone who can act as an impartial observer. You should explain what the chaperone’s role would be during the examination. (2)

A chaperone should usually be a health professional and their role is to be:

• sensitive and respect the patient’s dignity and confidentiality
• alert to the patient showing signs of distress or discomfort
• aware of the most appropriate route to raise concerns and do so if they are concerned about the medical professional’s behaviour or actions.

Reference

1. Rao S. Rectal Exam: Yes, it can and should be done in a busy practice. American Journal of Gastroenterology 113(5):p 635-638, May 2018.
2. General Medical Council (online): Intimate examinations and chaperones