Prostate Exams

What is a Prostate Exam?

A prostate exam is a routine evaluation performed by your urology specialist to assess prostate health. These exams typically include two primary components: a digital rectal exam (DRE) and a prostate-specific antigen (PSA) test.

• Digital Rectal Exam (DRE): During this exam, your urologist gently inserts a lubricated, gloved finger into the rectum to feel the prostate gland. This allows the provider to check for abnormalities such as enlargement, lumps, or unusual firmness while also assessing the surrounding pelvic area.
• PSA Test: The PSA test is a blood test that measures the level of prostate-specific antigen, a protein produced by the prostate gland. Small amounts of PSA in the blood are normal, and levels can increase slightly as men age. However, elevated PSA levels may signal prostate conditions, including prostate enlargement, inflammation, or certain types of prostate cancer.

Together, these screening tools help your doctor detect and diagnose conditions such as benign prostatic hyperplasia (BPH), prostatitis (prostate inflammation), and prostate cancer.

When Should I Have a Prostate Exam?

If you are experiencing symptoms related to prostate problems—such as difficulty urinating, blood in the urine (hematuria), or pain during ejaculation—a prostate exam may be recommended as part of the diagnostic process.

Prostate exams are also an important component of routine prostate cancer screening as men get older. Most men begin screening between the ages of 40 and 50, although the exact starting age may vary depending on personal risk factors.

After your initial screening, your urologist will recommend how often you should have a prostate exam based on factors such as your PSA levels, age, overall health, and family history.

How Do I Prepare for a Prostate Exam?

Our team will provide clear preparation instructions before your appointment. In some cases, you may be asked to avoid sexual activity for a short time prior to the test.

Be sure to inform your urologist about any medications you are currently taking, as certain drugs may affect the results of your exam. If you have conditions such as hemorrhoids or anal fissures that could cause discomfort during a digital rectal exam, let your doctor know in advance so they can take steps to keep you as comfortable as possible.

At Urology Associates, our team is committed to providing prostate exams in a careful, respectful, and efficient manner. Contact the office nearest you to schedule your appointment.