Rectal at yearly urologist appointment

Thank God I don't have a history of cancer in my linage . With the quality of medical care in this part of the country I would have died long ago .

I have active urinary retention, incontinence, isotopic bladder, as I mentioned in a post recently on here, I see my urology PA several times per year, sometimes for a Foley to give my bladder a rest. She usually gives a DRE couple times per year, and a PSA once per year, and at my last annual with my PCP, she also gave me a DRE.

Neither a PSA or DRE is a perfect test but I get both every year.

Bob1952 said…

Neither a PSA or DRE is a perfect test but I get both every year.

Just had both done last week at my annual (post prostate cancer) urological exam. Really enjoy his two fingers slowly probing and rotating inside my rectum!

I definitely get both DRE and PSA done annually. I’d insist on get both if someone suggested not doing one, the other, or both.

Ejaculation before a PSA test can increase levels.

Ejaculation before a PSA test can increase levels. So can a forceful DRE.

Ejaculation before a PSA test can increase levels. So can a forceful DRE.

It sure does, I screwed up twice and had to get retested. 🙄 You should refrain from ejaculation at least 72 hours prior to test.

Ejaculation before a PSA test can increase levels.

I've never heard that. Nor has anyone from my PCP's office ever asked me to refrain from ejaculation before an appointment.

I've had blood work, including PSA testing, done as a part of every routine physical for the last 15 years or so. I've ejaculated numerous times in the days leading up to each exam; sometimes the morning of the exam. But I've never had an elevated PSA.

The Dr. asked me if I'd had sex recently before the test, I told him yes, the night before. I lied and actually masturbated. 😉 He said that'll raise level.

The Dr. asked me if I'd had sex recently before the test, I told him yes, the night before. I lied and actually masturbated. 😉 He said that'll raise level.

Maybe my PSA levels are low enough that even with a little "bump" due to ejaculation they are still within the norm. I guess that's a good thing!

I would REALLY struggle to refrain from masturbating for 72 hours.😎

Well every time I see a urologist or the urology PA they do a prostate exam. I’ve also had them at physicals both before and after starting to see a urologist.