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27,050 deaths from cancer of the prostate. Early detection is usually limited to detection of an abnormality on DRE.

Benign prostatic hypertrophy produces a symmetrically enlarged, soft gland that protrudes into the rectal lumen. This diffuse enlargement is common among men older than 60 years. A boggy, fluctuant, or tender prostate may indicate acute prostatitis. The seminal vesicles lie superior to the prostate gland and are rarely palpated, unless they are enlarged.

The rectal examination is concluded by informing the patient that you are now going to withdraw your finger. Gently remove the examining finger, and give the patient tissues to wipe himself.

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