Originally Posted by
OldTryGuy
The DRE, Digital Rectal Exam can be a very beneficial part of a Wellness Exam. Feeling something abnormal might indicate an issue exists with further testing being advisable just as a High or Low PSA are not good indicators of PCa(Prostate Cancer) being present but something might be happening.
I had no flow or pain issues when urinating, had an elevated PSA and my PCP felt something hard during her DRE. What she felt was later confirmed through a biopsy as been a Gleason10.
I agree. The PSA test is not an accurate predictor of prostate cancer. Neither is a DRE but it (or DRE and PSA) can raise alarms. Keep in mind that PSA rises with the size of the prostate so BPH can be expected to raise PSA.
The Mayo Clinic says men over 70 with no other risk factors for PCa should probably not even be tested for PSA.
This stuff is all a bit of a crap shoot.