Doctor insights on:
Prostate Self Exam
The prostate is a gland that lies at the base of the bladder and surrounding a segment of urethra. It secretes a milky fluid that is discharged by excretory ducts into the urethra during the emission of semen. It is clinically important because enlargement of the prostate with age, and prostate cancer are two common ...Read more
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. ...Read moreSee 1 more doctor answer
They shouldn't, but.: Prostate exam for prostate cancer screen is usually performed digitally (with a gloved finger). It is a quick procedure to feel for nodules/masses. Pain depends on the individual; it is subjective. If there are cuts/fissure, previous trauma (emotional, physical or radiation) and or infection men may have pain. Most men do not experience pain with the exam, so p cancer screen should not be avoided. ...Read moreSee 1 more doctor answer
Suspected: But generally confirmed with exam.Get a more detailed answer ›
I'm 50years old, african descent, no family history of prostate cancer. Psa 4.1 but normal digital rectal exam. Is biopsy recommended? Any risk? Thanks
Yes: Indication for a prostate biopsy are an abnormal dre or an elevated psa (most common reason). There is no psa level at which one can absolutely say that prostate cancer is or is not present; only that the higher the psa the greater the probability. Normal/average psa for age 50: ~0.7. Chance of fnding pca on bx with psa 4.1: ~25-35%. Risks of bx: infection, bleeding, pain, urinary retention. ...Read moreSee 1 more doctor answer
New dr did not perform testicular or prostate exam during physical but prior dr always did. I'm 44 should prostate and testicular be part of physical?
Docs Vary: It is hard to judge the quality of practice of a doctor based what they examine on a single visit. If you like them ask for the exams you would like without judgement. It is perfectly reasonable for you to want your prostate and testicles examined. Perhaps a patient strenuously objected to the offer. It takes getting used to a new doc, but you should begin 2 really trust them soon or switch. ...Read more
IT MAY TAKE LONGER: But it should be fine.Get a more detailed answer ›
Can perineum-urethral pain be symptoms of prostatitis, even when digital rec. exam, ultrasnd with urinalysis show nothing. What tests 4 confirmation?
2 vs 4 glass test: Urinalysis is not a 'gold standard' for prostatitis - the 2 and 4 glass test is very useful, and measures urinary bacteria levels from 4 points during a single voided specimen 1) first urine =urethral 2) second urine = bladder 3) post- prostate massage urine = prostatic sample, and 4) second post-prostate massage urine = prostatic sample ...Read more
See below: Prostate biopsies are done under ultrasound guidance and usually 6-12 cores are obtained (variations exist but 24 cores be unusual - did you mean gauge?). Usual complications are blood in urine or ejaculate for few days, local pain and discomfort. Infection may occur uncommonly. Rarely injury to blood bessel with internal bleeding has been reported. Impotence would be very rare if at all reported. ...Read moreSee 1 more doctor answer
My father-in-law had a recent ultrasound of prostate and psa test. His ultrasound showed enlarged prostate 104grams and psa 6.7. Is biopsy needed?
Much debate keeps on: Before diving into prostate biopsy, the specific info on age, medical background, family history, finding of digital rectal exam (DRE) on prostate, urinalysis, etc. over time would be helpful. To gain a glimpse on much conflicting studies, confusion, and debate on how to use PSA and decide when to biopsy, take time & patience to review articles listed in http://formefirst.com/FreeInfoProstate.html ...Read moreSee 2 more doctor answers
May depend on doctor: A good position for a rectal exam is a one where the anus is accessible to the doctor's finger, and the doctor feels he is able to get a really good exam: lying on the side, bent over the examination table, or lying down with feet in stirrup (lithotomy position), etc... The position is not that important. What's important is that the dr. Is able to reach and feel everything he wants to examine. ...Read more
Left testicular pain and sensitiveness despite negative ultrasound, urine culture, urinalysis, STD check and prostate check? Any suggestions
pain: There is a small appendage that hangs from the testes called the testes appendix. This small segment of tissue can twist and become ischemic. This is very painful. Have first hand experience and will not forget it. In time, usually a few days this will resolve. Other things that can cause testicular pain include orchitis (inflammation of the testes) and kidney stones (referred pain). ...Read more