Dreading the DRE? Here’s What Skipping It Could Cost You

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Should every man still have a digital rectal exam—or has the PSA blood test made it unnecessary?

The evidence is surprisingly conflicting. One study found that a digital rectal examination detected prostate cancers in men whose PSA was considered normal for their age. But a much larger study of younger men found that the exam detected very few cancers, while PSA testing performed substantially better.

In this video, I explain:

• Why a normal PSA does not always exclude prostate cancer
• Why the DRE performs poorly as a stand-alone screening test
• When the examination may still add useful information
• How age and individual risk change its value
• The important question to ask when your PSA is described as “normal”

The real answer is not that every man should demand a DRE—or that everyone should skip it. Its usefulness depends on who is being examined and why.

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Categoria
Urology
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