Which physical exam finding is most consistent with benign prostatic hypertrophy?

The finding most consistent with benign prostatic hypertrophy (BPH) is a rubbery consistency of the prostate gland during a digital rectal exam. In BPH, the prostate typically enlarges uniformly, leading to a smooth, firm, and rubbery texture when palpated. This prostate engorgement is generally symmetrical and does not demonstrate the irregular nodularity or hardness associated with more malignancy or inflammation.

In contrast, asymmetry of the prostate may suggest pathological conditions such as prostate cancer or prostatitis. A boggy consistency could indicate acute prostatitis or inflammation, which is not characteristic of the benign enlargement seen in BPH. Lastly, decreased anal sphincter tone may reflect neurological issues or advanced pelvic dysfunction but does not pertain directly to the findings with BPH itself. Therefore, recognizing the rubbery consistency as being indicative of benign prostatic hypertrophy is crucial for understanding this condition.