Age 45 for men with a single first-degree relative who had prostate cancer before age 65. Age 45 for African American men due to carrying a higher risk of prostate cancer. Note any symptoms associated with your urinary system. Problems associated with your bladder, urethra, and penis can all potentially have ties to prostate problems. Due to the proximity of the prostate to these systems it can grow and press against them causing dysfunction. If you have any urinary symptoms, a variety of ailments may be responsible that a DRE alone cannot diagnose.
Also, a DRE is just one of several tests your doctor may use to determine the health of your prostate. A biopsy may also be necessary to confirm or rule out cancer. Those without prostate symptoms and elevated PSA may require repeat testing after two days.
Men with a PSA of less than 2. L may only need to be retested every two years whereas screening should be done yearly if your PSA level is 2. Consider having your doctor perform the exam. Though it may seem relatively simple to perform, prostate exams require proper technique and the ability to understand what you are feeling for. Possible complications include bleeding due to nail punctures of cysts or other masses. In addition, if your self exam is abnormal and you seek advice from your doctor, he will most likely repeat the exam to confirm the results anyway. Performed at your doctor’s office, your doctor would position you either lying down on your side with your knees up or standing leaning forward with your hips flexed. This gives the doctor easier access to your rectum and prostate.
Inspect the area for any skin conditions. This will either require some handy work with a hand mirror or the assistance of a spouse or partner. Inspect your rectal area visually for any skin conditions, such as cysts, warts, or hemorrhoids. You or your partner should put on a sterile latex glove to perform the DRE. Ensure that you wash your hands before touching the glove to put it on. You will only use your index finger for the exam, but you should still wear gloves. Ensure you have closely trimmed fingernails before washing your hands and putting on the glove.
A lubricant such as Vaseline or KY Jelly will allow easier, less stressful penetration into the rectum. Apply a liberal amount of the lubricant to the index finger of the glove. Feel the walls of your rectum. You or your partner will insert the index finger into your rectum. Turn the finger in a circular motion to feel for any bumps or lumps that could indicate cancer, tumors, or cysts along the walls of your rectum. If no abnormalities are present, the walls should be smooth with a consistent shape.
Feel the wall of your rectum toward your belly button. In a professional setting, the entire exam will take approximately ten seconds, so don’t spend too much time feeling around as it will only increase your discomfort with the exam. Dispose of the glove and remember to wash your hands again immediately. Make sure that you follow-up with your doctor for further tests and discussion. If you feel like your exam showed abnormalities, then you should make an appointment with your doctor right away. Remember to tell the physician that you administered a self exam if it’s been less than two days since this can result in an elevated PSA level on other tests. What if there is blood in my semen?
Matsko is a retired Physician in Pennsylvania. Temple University School of Medicine in 2007. Sometimes prostate cancer can cause blood in the semen. I would get checked out by an urologist. I have some blood in my urine, but the doctor checked it under a microscope and said it’s not a big deal. He said to return in a year for another check up.
Blood in the urine can be due to a number of different causes including kidney stones. Your doctor will conduct a digital rectal examination and get a PSA level to determine if there is need for further evaluation. Can a woman catch it from her spouse? What do I do if there’s a lump on my testicles? The sooner you do, the better you can avoid potential testicle cancer, and avoid it getting to an irreversible point. Can an enlarged prostate cause constipation? What can I do to prevent getting prostate cancer? Talk to your doctor about getting regular prostate exams, and prevent cancer in general by avoiding smoking, eating a healthy diet and getting regular exercise. The prostate is a gland that produces ejaculate.
If I have a pain between my scrotum and my anus, could I have prostate problems? Prostatitis pain can occur in the area between the scrotum and anus or in the lower back, penis, or testes. Does the urethra actually go through the prostate? Is it normal to have a prostate exam at the age of 14? Under normal conditions, this would not be necessary at age 14. Rule of thumb, if your doctor feels it’s necessary, I would at least have it checked. Does methadone usually give the same symptoms as prostate cancer? If I’m experiencing some bleeding after getting a rectal examination, will it go away by itself? What is the purpose of doctors rubbing the stomach, chest, shoulders, and legs?
I have lower back pain and pain inmy ribs and hips. Should I have an MRI scan of the prostate? Is loss of weight associated with prostate cancer? Include your email address to get a message when this question is answered. Note that cancer can occur even with normal results from both the PSA test and a DRE. Consensus regarding the reliability of screening is mixed with some foundations and physicians recommending it whereas others do not. Discuss your family history, age, and symptoms with your healthcare provider to make an informed decision. Chapter 15 The anus, rectum and prostate.
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