Abstract: BACKGROUND: Men often have prostatic lesions especially with advancement in age above 50 years. Lesions of the prostate are common health problems globally with prostate cancer said to be the second commonest malignancy in men. Prostate Specific Antigen (PSA) is a nonspecific marker but very sensitive for prostatic lesions. Benign and malignant prostatic lesions cause appreciable enlargement of the gland and significant rise in PSA. Transrectal ultrasonography is a readily available and affordable imaging modality for evaluating the prostate.