A rectal exam, or digital rectal exam (DRE), is when a clinician inserts a gloved, lubricated finger a short way into the rectum. Besides checking the prostate, it can help evaluate:
- Rectal bleeding, hemorrhoids and fissures
- Lumps or masses in the lower rectum
- Anal sphincter tone (for example with incontinence or certain nerve injuries)
- Constipation or impaction
Good to know
A DRE alone is not a colorectal cancer screening test. Screening uses colonoscopy or stool-based tests, starting at age 45 for most adults.
USA Prostate Exam: Quick Facts
- Tests
- Digital rectal exam (DRE) + PSA blood test
- DRE time
- Under 1 minute
- USPSTF (55–69)
- Individual decision (Grade C)
- USPSTF (70+)
- Recommends against routine PSA screening
- Higher risk
- Black men; father/brother diagnosed before 65
- Medicare
- Yearly PSA ($0) and DRE for men 50+
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Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.