From the Research
A prostate exam is generally not contraindicated for most men, but the decision to undergo screening should be individualized, considering the potential benefits and harms, particularly for men aged 55 to 69 years, as recommended by the US Preventive Services Task Force 1.
Key Considerations
- The USPSTF recommends that men aged 55 to 69 years discuss the potential benefits and harms of prostate-specific antigen (PSA)-based screening with their clinician, taking into account factors such as family history, race/ethnicity, and comorbid medical conditions 1.
- For men aged 70 years and older, the USPSTF recommends against PSA-based screening, as the potential benefits do not outweigh the expected harms 1.
- A prostate exam, also known as a digital rectal examination (DRE), is a safe and important screening procedure for prostate health, particularly for men over 50 or those with risk factors for prostate cancer.
Specific Situations
- Caution is warranted in patients with acute prostatitis, recent rectal surgery, or severe hemorrhoids that could cause significant pain during examination.
- The exam typically involves a healthcare provider inserting a gloved, lubricated finger into the rectum to feel the prostate gland for abnormalities in size, shape, or texture.
- This procedure helps detect prostate cancer in early stages when treatment is most effective, and can also identify benign prostatic hyperplasia (BPH) or prostatitis.
Discussion with Healthcare Provider
- If you have concerns about a prostate exam, discuss them with your healthcare provider, who can address specific circumstances that might affect your individual case.
- The healthcare provider can help weigh the potential benefits and harms of screening, considering your individual risk factors and health status.