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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.
In males, the prostate gland partially surrounds the urethra. If the prostate becomes enlarged, which is common in older men, it presses on the urethra and can block it. The most common cause of prostate enlargement is benign prostatic hypertrophy (often called BPH). Other causes of prostate enlargement include prostate cancer and prostate infection (prostatitis).