Prostate examinations

Sir, – Frank McNally (An Irishman's Diary, November 19th) uses a light-hearted approach while raising the important issue of prostate screening. His message is clear and succinct. The late Prof John Fitzpatrick – professor of surgery at the Mater Hospital, Dublin, and a world leader in prostate cancer research – continuously advocated for digital rectal examination (DRE) over blood testing and thankfully, as GPs, we are now in an environment to follow this advice and recommend a DRE in the first instance.

It is a well-tolerated, brief and hugely revealing examination that men should discuss openly with their friends and GPs alike. No embarrassment or comic relief is necessary when considering it. – Yours, etc,

Dr HUGH Ó FAOLÁIN,

Strandhill, Co Sligo.