%0 Journal Article
%T Patients¡¯ views of medical positioning for proctologic examination
%A Ole Gebbensleben
%A York Hilger
%A Henning Rohde
%J Clinical and Experimental Gastroenterology
%D 2009
%I Dove Medical Press
%R http://dx.doi.org/10.2147/CEG.S8429
%X tients¡¯ views of medical positioning for proctologic examination Original Research (7794) Total Article Views Authors: Ole Gebbensleben, York Hilger, Henning Rohde Published Date December 2009 Volume 2009:2 Pages 133 - 138 DOI: http://dx.doi.org/10.2147/CEG.S8429 Ole Gebbensleben1, York Hilger2, Henning Rohde3 1Park-Klinik Berlin-Weissensee, Innere Abteilung, Berlin, Germany; 2Institut f¨¹r Biostatistik, Freiburg, Germany; 3Praxis f¨¹r Endoskopie und Proktologie, Berlin, Germany Background: It is unknown which proctological position is most embarrassing to patients. Methods: Individuals consecutively referred to our outpatient clinic in order to determine the causes of anal and/or abdominal complaints were randomized to complete an unvalidated six-item questionnaire which asked for their preferred proctologic positioning either before or after a proctological examination in knee¨Cchest position followed by inspection of the anal verge, digital examination of the anal canal, and anoscopy. A third group of patients referred for gastroscopy was asked to complete the questionnaire before being gastroscoped. Results: One hundred seventy-eight individuals of both genders aged 16¨C80 years who consecutively entered our outpatient clinic were enrolled. One third in each group had never experienced any of the offered medical positionings. Most patients favored the Sims¡¯ position if they had the choice. Randomized patients favored the knee¨Cchest position more after experiencing it compared to those without experience (P < 0.03). Patients favored the positions they had recently experienced irrespective of the other positions offered in the questionnaire (P < 0.05). Individual answers to the question ¡®which position do you find most embarrassing?¡¯ did not depend on sex or age at first examination or when their last examination was performed. The majority of patients (55.2%¨C71.4%) held that no type of proctological positioning was most embarrassing to them. Conclusions: The medical profession is authorized to use the proctological positioning that allows the most reliable anal diagnoses.
%K anal bleeding
%K anal itch
%K anal pain
%K proctological positioning
%K pruritus ani
%K hemorrhoids
%K benign anal diseases
%U https://www.dovepress.com/patientsrsquo-views-of-medical-positioning-for-proctologic-examination-peer-reviewed-article-CEG