The tone of this very moving letter makes the point that you have to make it convenient for the male to get a rectal. I love the advice of “get another doctor” if the male doesn’t like the doctor or there is an impediment to the exam.
From “The Decision” theprostatedecision.com
The rectal exam – The male patient doesn’t want it done and the doctor is easily persuaded not to do it.
This may sound odd to you, but sometimes you have to demand that a rectal exam be performed. A nurse that I work with in the operating room related to me that her husband, who is in his early 40s, was scheduled for a yearly company physical. She told him to be sure to have a rectal exam and a PSA test, but when he asked his doctor, he was told, “You are too young to have prostate cancer.” Upon hearing what transpired, his wife, my co-worker, said, “You go get you another doctor that will do that exam; I work with a bunch of urologists and I know what can happen with prostate cancer!”