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How does a urologist check your prostate?

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.

my.clevelandclinic.org - Prostate Exam: Age, Procedure, What To Expect & Results

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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.

Anal fissures.

Anal tears. Your healthcare provider may ask you to abstain from sex for 48 hours before your prostate exam. This is because ejaculation can cause your PSA levels to increase temporarily, which could affect your test results. Should I poop before a prostate exam? You don’t need to change any bathroom habits prior to your appointment. If you feel like you need to poop before your exam, then it’s fine to do so. But don’t worry if you just don’t have the urge. The prostate exam shouldn’t make you feel like you need to go. There’s no need to be embarrassed about fecal matter (poop) during your prostate exam. Your healthcare provider is experienced in performing this exam and will do everything to ensure your comfort during the process. What should I expect during a prostate exam? As mentioned above, there are two types of screenings that your healthcare provider may use to detect prostate cancer: a PSA (prostate-specific antigen) blood test and a digital rectal exam (DRE). Research shows that the PSA blood test is more effective for detecting prostate cancer. However, the DRE can still find cancer in people with normal PSA levels. For this reason, many healthcare providers recommend both. Neither test confirms you have prostate cancer, which is why they’re considered screening assessments rather than diagnostic tests. PSA blood test For this test, your healthcare provider simply draws a sample of your blood and sends it to a lab for analysis. The PSA blood test measures the amount of prostate-specific antigen in your blood. There is no official cutoff score that can determine whether or not you have prostate cancer. Instead, the results are used as a gauge to determine if more testing is needed. If you have a high PSA, you may need further testing — such as a prostate biopsy, MRI or other lab tests — to determine if prostate cancer may be present. 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). How painful is a prostate exam? While a DRE may be uncomfortable, it’s usually not painful, and it only takes a few seconds to complete. Be sure to let your provider know if you have hemorrhoids, anal fissures or anything else that could make the exam uncomfortable.

my.clevelandclinic.org - Prostate Exam: Age, Procedure, What To Expect & Results

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