The patient should be positioned for comfort, ., in Sims position (lying on the left side with knees and hips comfortably flexed). A chaperone and/or a drape should be provided for patient safety, comfort, and dignity. After an explanation of the procedure to the patient, several mL of surgical lubricant are placed on the examiner's glove, usually on the index finger. The examiner visually inspects the anus and perineum, then places the gloved finger on the anal opening while asking the patient to bear down gently. After the finger enters the anus, it is used to sweep circumferentially around the interior of the distal intestine. It is then directed anteriorly (when examining a male patient) to evaluate the consistency, size, and nodularity of the prostate gland. Samples of stool obtained during the exam may be sent to the lab to test them for the presence of occult blood.
Stephan Bonnar and Josh Barnett , mixed martial arts (MMA) fighters from the UFC and PRIDE Fighting Championships , have also tested positive for the banned substance.  After the World Extreme Cagefighting show on January 20, 2006 Muay Thai turned MMA fighter Kit Cope also tested positive for boldenone.  Following the Strikeforce card on June 22, 2007 former PRIDE and UFC fighter Phil Baroni tested positive for boldenone, as well as stanozolol .  At a K-1 WGP event in Las Vegas on August 17, 2007 two fighters, Rickard Nordstrand and Zabit Samedov , both tested positive for boldenone.  Alexandre Franca Nogueira tested positive for boldenone in July 2008.