A member asked:

How is benign prostatic hyperplasia diagnosed by digital rectal examination?

5 doctors weighed in across 2 answers

Consistency: Benign enlargement the gland gets enlarged almost 3 finger size, may not able to reach upper end of prostate, the central grove will disappears, consistency is not hard like malignancy, your urologist is an expert who has knowledge to distinguish from other conditions, finally if needed will do a biopsy to rule out cancer.

Answered 5/22/2013

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Bph: BPH is mostly diagnosed by symptoms. The size of the prostate on rectal exam correlates very poorly with actual symptoms. One may actually have a palpably large prostate and no symptoms and vice versa.

Answered 6/10/2014

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