Cover Story

Why doctors insert a finger to check for prostate cancer

Published

4 months ago

November 24, 2025

Prostate cancer is one of the most common cancers affecting men worldwide. Despite its prevalence, many families remain unaware of how it develops, how it can be detected early, and why a simple medical procedure, often viewed with apprehension, can be lifesaving.

Consultant Urologist Dr Samuel Kagiri Maingi, one of Kenya’s leading specialists, explains the process clearly: “The prostate is a small gland located just below the bladder. It surrounds the urethra, the tube through which urine passes, and plays a critical role in reproduction. Because of its position, it cannot be examined from the outside.”

This is where the digital rectal examination (DRE) comes in. During this procedure, a doctor gently inserts a gloved, lubricated finger into the rectum to feel the prostate. “It is the most direct way to assess the size, shape, and texture of the prostate. If there are any irregularities, such as hard areas, lumps, or unusual growths, we can investigate further to determine if it is cancerous or a benign condition,” Dr Kagiri says.

Many men fear this examination, often for cultural or psychological reasons. Dr Kagiri acknowledges this hesitation but reassures families: “It is a simple, quick procedure. It does not harm, and it is not mandatory. However, it is a critical step in early detection. Early diagnosis can make a significant difference in treatment outcomes.”

Prostate cancer often develops silently. Early stages may not produce noticeable symptoms. Some men might experience increased frequency of urination, difficulty starting or stopping urination, or discomfort, but these signs are not always present. “Because prostate cancer can be asymptomatic initially, screening is vital, particularly for men over 50 or those with a family history of the disease,” Dr Kagiri notes.

Families play a crucial role in supporting men to prioritise their health. “Men tend to be more reserved about health issues,” Dr Kagiri explains. “It is often wives, daughters, or sisters who encourage them to seek medical advice. Support from loved ones can save lives.”

Screening also includes blood tests, such as the prostate-specific antigen (PSA), and sometimes imaging, which helps doctors determine the presence of abnormal growths. If cancer is detected early, treatment options include surgery, radiotherapy, and hormone therapy. Even when the disease has advanced, there are methods to manage symptoms and maintain quality of life.

Lifestyle choices can also help maintain a healthy prostate. Dr Kagiri advises a diet rich in vegetables, nuts, seeds, and foods high in selenium and zinc. “What is good for the prostate is good for the body in general,” he adds.

Understanding the reasons behind the digital rectal examination and the importance of early screening helps families support the men they love. Encouragement, education, and regular medical check-ups are essential. As Dr Kagiri reminds us, “Early detection gives men a fighting chance. Families can be the bridge that helps men take that crucial first step.”

By normalising conversations about men’s health, parents, partners, and siblings can ensure that men do not ignore warning signs. The simple act of a finger gently examining the prostate can save lives, a fact that every family should know and support.

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Cover Story

Heartbreak as Body of 12-Year-Old Blessed Claire Muthoni Arrives Home from India

Published

1 week ago

March 31, 2026

Wanjiru Gathuo

Kenyans are mourning the loss of Blessed Claire Muthoni, a brave 12-year-old girl from Kihuri in Othaya, Nyeri County, who passed away while undergoing specialised cancer treatment in New Delhi. Claire had been fighting stage 4 cancer for over three years.

The aggressive disease took a heavy toll on her young body, eventually leading to the amputation of one of her legs. Despite the pain and the many challenges she faced, Claire remained hopeful and courageous throughout her journey, inspiring many who followed her story.

On January 19, 2026, she travelled to India with her mother in search of advanced treatment aimed at saving her remaining leg and managing the cancer that had spread to her lungs. The journey was filled with hope, supported by Kenyans from all walks of life who contributed towards her treatment and kept her in their prayers.

A brave fight

While in India, Claire underwent several chemotherapy sessions. Unfortunately, her condition worsened after developing complications, leading to her admission to the Intensive Care Unit. She passed away in hospital last week, leaving behind a grieving family and a nation that had stood with her.

On Monday, March 30, 2026, her remains arrived at Jomo Kenyatta International Airport. The atmosphere at the airport was filled with grief as family members, friends and well-wishers gathered to receive her. Her mother returned home alone, carrying a loss no parent should have to endure.

Claire will be laid to rest in her home area of Othaya in the coming days, as her family begins the difficult process of saying their final goodbyes.

Her story touched thousands across the country, many of whom followed her journey through updates and fundraising efforts. She became a symbol of strength and resilience, and her passing has deeply affected those who had hoped to see her recover.

Beyond the grief, her story has once again brought attention to the challenges families face when dealing with childhood cancer in Kenya. The high cost of specialised treatment, limited access to advanced care locally, and the emotional and financial strain on families often force many to seek treatment abroad.

Read our March issue here

Cover Story

Shock as Section of Gikomba Shoe Market Demolished Overnight

Published

1 week ago

March 31, 2026

Wanjiru Gathuo

Traders at Nairobi’s bustling Gikomba Market are counting heavy losses after a section of the popular shoe market (mitumba shoe section) was demolished overnight by Nairobi City County enforcement teams. The operation took place in the early hours of Tuesday morning.

Videos and photos circulating on social media show destroyed merchandise and devastated traders who arrived at the market this morning to find their businesses in ruins. According to reports, the county government carried out the demolition after an eviction notice lapsed. This happened even though the High Court (Environment and Land Court) had earlier issued and extended conservatory orders in March 2026, halting mass demolitions and evictions at Gikomba and surrounding areas along the Nairobi River.

Repeated demolitions

Demolitions at Gikomba are not new. As far back as 1977, the original market was brought down by the government to pave the way for light industries. In recent years, attention has shifted to the riparian land along the Nairobi River, with authorities proposing to expand the buffer zone from 30 metres to 50 metres in a bid to control flooding.

Many traders have raised concerns over what they describe as poor consultation, shifting relocation plans and the lack of a clear and secure alternative site. There are also growing fears that the process could open the door to land grabbing and cartel involvement.

Impact

For most traders at Gikomba, the market is more than just a place of business. It is their only source of livelihood. Repeated fires and demolitions have created a cycle of uncertainty, financial strain and constant rebuilding. Many small business owners say they struggle to recover after each loss, only to face another setback months later.

Calls for improved fire safety measures, fair relocation plans and meaningful engagement with authorities continue to grow louder. Without long term and sustainable solutions, Gikomba traders will continue to bear the high cost of operating in one of Nairobi’s busiest yet most vulnerable markets.

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Cover Story

The joy of controlled freedom in parenting

Published

2 weeks ago

March 27, 2026

Adoyo Immaculate

Parenting often revolves around setting boundaries and ensuring children follow rules. While discipline is essential, there is a hidden joy and power in saying “yes” to your child more often. Allowing controlled freedom can be a game-changer in fostering independence, confidence, and resilience in your child.

The Power of Yes

Saying “yes” doesn’t mean giving in to every whim or desire. Instead, it’s about choosing moments where your child can explore their world with freedom.

Whether it’s allowing them to choose their outfit for the day or letting them plan a family outing, these small moments of empowerment build self-esteem.

Building Confidence Through Freedom

Children thrive when they feel trusted. By saying “yes” to reasonable requests, you’re telling your child that you believe in their ability to make decisions.

This trust translates into confidence as they learn to navigate their choices, understanding the consequences and rewards that come with them.

Creating Safe Boundaries

While saying “yes” is powerful, it’s crucial to establish safe boundaries. These boundaries ensure that your child’s freedom doesn’t lead to harm.

For example, you might say, “Yes, you can play outside, but stay where I can see you.” This approach allows freedom within a safe framework, giving your child the space to grow while keeping them protected.

Encouraging Problem-Solving Skills

When you allow your child to make decisions, you’re also teaching them to solve problems. They learn to think critically about their choices, weighing options, and considering outcomes. This skill is invaluable, as it prepares them for real-world challenges.

The Lasting Impact

The simple act of saying “yes” more often can have a profound impact on your child’s development. It’s a way to show trust, build confidence, and encourage independence.

So next time your child asks for something, consider the power of “yes.” It might just be the best answer you give all day.

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