The urologist who performed my prostectomy did a DRE with every PSA test until he retired 9 years later. There appears to be a move away from DREs, I guess because many guys don’t like them and they are “too subjective.” They never really bothered me, especially compared to a transrectal needle biopsy. Anyway, I hope my story provides you with sufficient reason to counter the “no PSA, no need for a DRE”. Maybe statistically that has some merit, but I’m living proof that it is not invariably true. Yup, self advocate firmly.