I place my left hand high on your bottom cheek and you gasp loudly as my finger penetrates you. I work it around, quickly applying pressure to your sphincter, swiftly locating your prostate and palpating it before removing my finger and pulling my gloves off.

"Dave, do you mind if Amy, our student nurse also has a quick look too?"

You make an affirmative noise and mumble something that sounds like 'no problem' and Amy also steps behind you, snapping on her own pair of gloves and lubing up eagerly as I begin to instruct her.

"The prostate gland can be found anteriorly Amy. When you are palpating from a lateral aspect, you can feel two distinct lobes, see how it is relatively firm to touch but you should not feel any lumps, healthy glands are pretty smooth to touch... ?"

Amy was struggling to carry out the exam and began moving her fingers around clumsily. She could not identify the structure correctly so I applied a fresh glove and guided my own finger over hers to show her. I hear you grunt and start panting as both our fingers were now inside your orifice and stretching you open. I also spot that you are now erect so I take the opportunity to give Amy further instruction.

"...It's very normal for patients to become erect and pretty excited during rectal examination. You can often catch ejaculate too which is handy for testing."

You are clearly enjoying the exam but I can sense how embarrassing this is for you so I pat your bottom in a soothing fashion "Please don't be embarrassed David, I know it's a bit unusual to have two nurses put their fingers in your bottom but this is all very usual for us and something we see every day."

I stroke your back gently to reassure you.

"Amy can you be a sweetie and prepare a two litre enema please?"