General health, medications, family history, urinary function, prior treatments
Recent PSA, urinalysis, kidney function
Insertion of finger in rectum to feel for size, firmness and nodules
Bladder ultrasound for contour, stones, tumors, check bladder emptying
Prostate ultrasound to determine exact size, configuration and nodules
Determine voiding efficiency, check for blockage
Discuss the results of the comprehensive prostate exam as well as make recommendations for next steps.