On DRE,you note that a 45-year-old patient has a firm,smooth,non-tender but asymmetrically shaped prostate.The patient has no symptoms and has a normal urinalysis.The patient's PSA is within normal limits for the patient's age.The clinician should:

Question

Quizplus · Accepted Answer

Asymmetrical shape of the prostate is a common finding and can be considered normal unless there are other alarming symptoms or findings. The presence of a normal urinalysis and PSA within normal limits for the patient's age further supports the idea that this finding is not indicative of prostate cancer or prostatitis. For these reasons, periodic follow-up is the best course of action. Referral for transrectal ultrasound guided prostate biopsy or obtaining an abdominal x-ray of kidneys, ureter, and bladder are not warranted in this case. A urine culture and sensitivity for prostatitis is also not necessary given the absence of symptoms that suggest prostatitis.

On DRE,you Note That a 45-Year-Old Patient Has a Firm,smooth,non-Tender