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Your doctor will examine you and do a digital rectal exam (DRE) to feel the prostate gland. During a DRE, the doctor inserts a gloved, lubricated finger into the rectum. The doctor can feel part of the prostate through the rectal wall. Swelling, lumps, firm spots, or enlargement may indicate prostate cancer.
Enlargement of the prostate is usually a benign condition, called BPH or benign prostatic hyperplasia. Prostate cancer may present with enlargement, but it is often an infiltrative process that first spreads within the prostate gland and may later produce nodules that can be felt by rectal exam.