This has been a controversial area. This is due to the fact that many prostate cancers cause no harm and are incidental, that treatment can have side effects like impotence and lack of control of urination, that the screening tests such as rectal examination are not always accurate, and the PSA blood test can both miss cancer when it is present and be abnormal when no disease is present. There is some evidence of prolonged life expectancy in certain categories of men when prostate cancer is detected early and treated.
The USPSTF specifically recommends against using PSA testing. The American Cancer society recommends an informed decision after discussion regarding any screening.
We typically perform a digital rectal examination with our finger yearly in men as this will detect prostate abnormalities, masses from other conditions, and blood in the stool. We do this as part of your comprehensive evaluation.