In most cases, prostate cancer symptoms are not apparent in the early stages of the disease. The symptoms of prostate cancer may be different for each man and any one of these symptoms may be caused by other conditions. As a result, routine screenings in the form of digital rectal exams (DRE) and prostate specific androgen (PSA) tests are important.
The American Cancer Society recommends that men make an informed decision with their doctor about whether to be tested for prostate cancer, beginning at age 50. Men with one or more risk factors for prostate cancer should consult with their physician about whether to start routine screening earlier.
Urinary symptoms of prostate cancer
Because of the proximity of the prostate gland in relation to the bladder and urethra, prostate cancer may be accompanied by a variety of urinary symptoms. Depending on the size and location, a tumor may press on and constrict the urethra, inhibiting the flow of urine. Some prostate cancer signs related to urination include:
Burning or pain during urination
Difficulty urinating, or trouble starting and stopping while urinating
More frequent urges to urinate at night
Loss of bladder control
Decreased flow or velocity of urine stream
Blood in urine (hematuria)
Other prostate cancer signs & symptoms
Prostate cancer may spread (metastasize) to nearby tissues or bones. If the cancer spreads to the spine, it may press on the spinal nerves. Other prostate cancer symptoms include:
Blood in semen
Difficulty getting an erection (erectile dysfunction)
Painful ejaculation
Swelling in legs or pelvic area
Numbness or pain in the hips, legs or feet
Bone pain that doesn’t go away, or leads to fractures
