Dobben AC, Terra MP et al. Anal inspection and digital rectal examination compared to anorectal physiology tests and endoanal ultrasonography

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The external anal sphincter is the most distal part of the anal canal. Digital rectal examination (DRE) is recommended as part of the physical examination. Generally done with the patient standing and bent over the examining Rectal examination consists of visual inspection of the perianal skin, digital palpation of the rectum, and assessment of neuromuscular function of the perineum.

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