Rectal exam is in or: Dull perineal pain is often due to an irritated or prematurely enlarged prostate. Often, in young men, this is due to extended time on a bicycle seat. Digital rectal exam by an experienced person can often identify the problem and PSA, though useful for detecting early prostate malignancy, would not be affected by a condition such as yours. Next stop - colonoscopy.
Answered 1/5/2019
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