Prostate Restored
Photo: Andrea Piacquadio
Digital rectal exam (DRE) During a DRE, your healthcare provider inserts a lubricated, gloved finger (digit) into your rectum. This way, they can feel your prostate to see if there are any lumps or bumps on the back portion of the gland (where many cancers start).
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Read More »Overview During the DRE portion of your prostate exam, your healthcare provider inserts a gloved finger into your rectum to feel the surface of the prostate, examine the lower rectum and assess the function of your anal sphincter. What is a prostate exam? A prostate exam is a screening method used to look for early signs of prostate cancer. In general, a prostate exam includes a PSA blood test (which measures the level of prostate-specific antigen in your blood) and a digital rectal exam (DRE). During the digital rectal exam portion, your healthcare provider carefully inserts their gloved finger (digit) into your rectum. This allows them to feel the edges and surface of your prostate gland to detect any potential abnormalities. When should men get a prostate exam? According to the American Cancer Society, men and people who were assigned male at birth (AMAB) should have their first prostate exam by age 50. If you have a family history of prostate cancer, you should consider having your first prostate exam at age 45. Additionally, Black men are at a higher risk for being diagnosed with prostate cancer. For this reason, healthcare providers often recommend that Black men have their first prostate exam around age 45. Prostate exam vs colonoscopy: What’s the difference? At first glance, it might seem that a prostate exam is similar to a colonoscopy. After all, both exams involve your rectal area. However, these two tests are quite different. While a prostate exam involves feeling the prostate with a gloved finger, a colonoscopy examines the walls of your colon by inserting a flexible camera into your rectum. The prostate is not examined at all during this procedure unless your healthcare provider manually performs an exam. A prostate exam is a fairly quick procedure performed in an office setting. A colonoscopy, on the other hand, is an outpatient procedure in the hospital that requires IV (intravenous) sedation. Test Details How do I prepare for a prostate exam? Little preparation is needed before a prostate exam. However, be sure to let your healthcare provider know if you have existing conditions that could cause discomfort, such as: Hemorrhoids.
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