A prostate consistent with benign enlargement is usually described as enlarged, smooth, symmetric, and of fibroelastic consistency.
⚠️ Warning sign
A hard, irregular, or nodular prostate requires considering other pathologies, especially prostate cancer.
The digital rectal exam primarily evaluates the posterior and peripheral region of the prostate.
BPH develops predominantly in the transition zone.
Key concept
An apparently normal digital rectal exam does not exclude BPH.
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