The following structures are felt on per rectal examination except –
**Core Concept**
The **per rectal examination (PR)** is a crucial diagnostic tool that allows clinicians to assess various pelvic structures. During a PR, the examiner can feel several key structures, including the **prostate gland**, **seminal vesicles**, and **rectal wall**. The examiner uses the **index finger** to palpate these structures.
**Why the Correct Answer is Right**
Since the options are missing, let's discuss the general approach to PR examination. The examiner can feel the **prostate gland** through the **anterior rectal wall**, assessing its size, consistency, and tenderness. The **seminal vesicles** can be felt as soft, fluctuant structures located superior to the prostate. However, some structures may not be palpable or identifiable during a PR.
**Why Each Wrong Option is Incorrect**
**Option A:** Without the specific option, we cannot comment on its accuracy.
**Option B:** Similarly, this option's correctness cannot be assessed.
**Option C:** This option is also unknown.
**Option D:** The same applies to this option.
**Clinical Pearl / High-Yield Fact**
A key point to remember is that the **prostate gland** is the most commonly assessed structure during a PR, and its abnormalities can indicate various conditions, such as **benign prostatic hyperplasia** or **prostate cancer**.
**Correct Answer:** Correct Answer: D. Ureteric orifices