As you age Ogre, it comes standard with the doc visit. I guess I assumed that you, like most of the others on here, just enjoyed having things stuck up in there.
Honestly, it's no fun but it typically lasts about maybe 15 seconds unless he finds something. I had one about 2 weeks ago and he felt something he has to keep a watch on next time. They do a PSA blood test and mine was fine but I still have to go to a urologist and get checked out.
The colonoscopy deal K is talking about is a whole different ball game. I had the light ran up da butt one time but it wasn't a full colonoscopy. I don't understand the difference but they don't go as far. Anyway, I was fully awake and alert. No meds. That part wasn't as bad as a prostate exam to me.
As K mentioned, the prep the day before was the worst part to me.