Digital Rectal Exam

A digital rectal exam (DRE) is a test used to check the lower rectum, prostate, pelvis, and lower belly to check for cancer. It can also be used if you are having bleeding or a change in your bowel or urine habits.

How do I get ready for the exam?

You do not need to do anything to get ready for this exam. If you have tears or injury to the anal area, anal fissures (crack or split in the tissue), or hemorrhoids you should let your provider know before the exam.

How is the exam done?

Your primary care provider or a gynecologist will likely do the DRE. You will stand and bend at your waist or lie on your side on the exam table. Your provider will gently put their gloved, lubricated finger into your rectum. They will feel for bumps, soft or hard spots, or anything that may not feel normal.

You may feel pressure, but it should not hurt. You may feel like you need to urinate (void or pee). It should only take a few minutes. If your provider feels anything that is not normal, they may do more testing.

What should I expect after the test?

You can go back to your normal activities right away. You may have some light bleeding especially if you have a history of hemorrhoids or anal fissures. If you have more than a small amount of bleeding, you should call your care provider.

References

Villanueva Herrero JA, Abdussalam A, Kasi A. Rectal Exam. [Updated 2023 Feb 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537356/

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