How is DRE in case of BPH?

- Digital rectal examination is systematically performed. It allows to diagnose BPH and to detect a possible prostate cancer associated within the same gland. - In the case of BPH, digital rectal examination will identify certain peculiarities of the prostate: the gland is enlarged in volume (> 20 grams), it is supple, painless, smooth, regular and is accompanied by a disappearance of median furrow. - A rectal examination suggestive of prostate cancer is an indication to perform prostate biopsies with pathological examination regardless of the PSA level.