For a digital rectal exam (DRE), the doctor inserts a gloved, lubricated finger into the rectum to feel for any bumps or hard areas on the prostate that might be cancer. As shown in the picture below, the prostate gland is just in front of the rectum, and most cancers begin in the back part of the gland, which can be felt during a rectal exam. This exam can be uncomfortable (especially in men who have hemorrhoids), but it usually isn’t painful and only takes a short time.
DRE is less effective than the PSA blood test in finding prostate cancer, but it can sometimes find cancers in men with normal PSA levels. For this reason, it may be included as a part of prostate cancer screening.