What kind of doctor checks your prostate?

urologist Find a urologist near you so you can schedule a prostate cancer screening. The exam only takes a few minutes and it could save your life.

piedmont.org - 5 Things Men Should Know About A Prostate Exam | Piedmont Healthcare

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5 things men should know about a prostate exam

According to the American Cancer Society, an estimated one in nine men will be diagnosed with prostate cancer. Though it is the second leading cause of cancer death among American men, preventative screenings like a prostate exam can help catch the disease before it becomes fatal. Matthew Sand, M.D., a urologist at Piedmont, answers five questions men commonly ask about prostate exams.

1.What is a prostate exam?

“A prostate exam is a digital or finger exam in the rectum to feel the prostate through the rectal wall,” says Dr. Sand. “We estimate the size of the prostate and then we feel around for nodules, which are concerning for prostate cancer.” Prostate exams can be performed along with a prostate-specific antigen (PSA) blood test, which measures the amount of PSA made by the prostate gland. The higher the PSA level, the higher the likelihood that there is a problem with the prostate gland. “Occasionally you'll have prostate cancers that don't make a high PSA,” says Dr. Sand. “But when we perform the rectal exam, we can detect if there is a lump or a nodule in the prostate. So, it’s very important to do the PSA blood test in combination with the rectal exam.”

2. Who should get a prostate exam?

Men over the age of 50 should have an annual prostate exam, says Dr. Sand. If you have a family history of the disease, the exam can be performed as early as age 40.

3. What happens during the prostate exam?

“The exam is fairly straightforward,” says Dr. Sand. “Patients bend over the exam table positioning their elbows on the table. Wearing a lubricated glove, the doctor inserts his index finger into the rectum. We then palpitate the prostate from side-to-side a couple of times, taking a feel for nodules, bumps, lumps or a hard spot. Then we estimate the size of the prostate gland.”

4. Does a prostate exam hurt?

“The whole procedure probably takes three to five seconds,” says Dr. Sand. “A little short-term discomfort can save you a lot of long-term pain and suffering.”

5. Why is it important to get a prostate screening?

Men aren't great healthcare-seekers on their own, says Dr. Sand.

“They usually go to the doctor for lifestyle issues like erectile dysfunction or urinary issues, but often delay screening testing,” he says. Prostate cancer is asymptomatic, which means men usually don’t show signs or symptoms of the disease until it’s in a more advanced stage. “A screening is the only way to catch prostate cancer in the early stages,” says Dr. Sand. “If caught early, it’s very treatable and the survival rate is excellent. If you don’t screen and take care of it, the outcomes are much worse.” Find a urologist near you so you can schedule a prostate cancer screening. The exam only takes a few minutes and it could save your life. Need to make an appointment with a Piedmont physician? Save time, book online.

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What are the benefits of a prostate exam?

The goal of screening for prostate cancer is to find cancers that may be at high risk for spreading if not treated, and to find them early before they spread.

cdc.gov - What Are the Benefits and Harms of Screening for Prostate Cancer? | CDC

Dr. Alex Krist, vice chair of the U.S. Preventive Services Task Force, provides an overview of the Task Force’s prostate cancer screening recommendation in this video. The U.S. Preventive Services Task Force (Task Force) is an organization made up of doctors and disease experts who look at research on the best way to prevent diseases and make recommendations on how doctors can help patients avoid diseases or find them early.

The Task Force made the following recommendations about prostate cancer screening—

Men who are 55 to 69 years old should make individual decisions about being screened for prostate cancer with a prostate specific antigen (PSA) test. Before making a decision, men should talk to their doctor about the benefits and harms of screening for prostate cancer, including the benefits and harms of other tests and treatment. Men who are 70 years old and older should not be screened for prostate cancer routinely. The goal of screening for prostate cancer is to find cancers that may be at high risk for spreading if not treated, and to find them early before they spread. However, most prostate cancers grow slowly or not at all.

Possible Benefits of Screening

The benefits of screening for prostate cancer may include—

Finding prostate cancers that may be at high risk of spreading, so that they can be treated before they spread. This may lower the chance of death from prostate cancer in some men.

Some men prefer to know if they have prostate cancer.

Possible Harms

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