What is an expected finding during a digital rectal exam of a normal prostate?

During a digital rectal exam, the prostate is expected to present with a soft, smooth consistency, which reflects its normal, healthy state. An examination revealing this texture indicates that the prostate is not swollen or hardened, which can suggest underlying issues such as benign prostatic hyperplasia or prostate cancer. A healthy prostate should also not exhibit any abnormal nodules or irregularities in shape, which are often associated with disease states.

Identifying a hard, irregular nodule would raise concerns for possible malignancy or other pathological conditions, while the presence of pain upon palpation could indicate inflammation or infection, such as prostatitis. Lastly, obvious enlargement of the gland might suggest benign prostatic hyperplasia, which is a common condition but not indicative of a normal prostate exam. Thus, the finding of a soft, smooth prostate is a reassuring sign of health in this context.