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Prostate Cancer (cont.)

Prostate Cancer Symptoms

Most men with prostate cancer have no symptoms. This is particularly true of early prostate cancer. Symptoms usually appear when the tumor causes some degree of urinary blockage at the bladder neck or the urethra.

  • The usual symptoms include difficulty in starting and stopping the urinary stream, increase in frequency of urination, and pain while urinating. These symptoms are commonly referred to as “irritative” or “storage” urinary symptoms.
  • The urinary stream may be diminished (urinary retention), or it may simply dribble out and a feeling of bladder fullness after urination can appear as well. These symptoms are commonly referred to as “voiding” or “obstructive” urinary symptoms.
  • It is noteworthy that these symptoms, by themselves, do not confirm or necessarily reflect the presence of prostate cancer in any single individual. Indeed, most, if not all of these can occur in men with noncancerous (benign) enlargement of the prostate (BPH), which is the more common form of prostate enlargement. However, the occurrence of these symptoms should prompt an evaluation by a physician to rule out cancer and provide appropriate treatment.

If the cancer causes a chronic (long-term) or more advanced obstruction, the bladder may be affected and be more prone to recurring urinary tract infections(UTI).

Rare symptoms that may manifest occasionally when the cancer is advanced may include blood in the urine (hematuria), painful ejaculation, and impotence (inability to have an erection).

If the cancer has spread to remote organs (metastasis) symptoms may include fatigue, malaise, and weight loss. Metastasis to the bones can cause deep bone pain, particularly in the hips and back or even bone fractures from weakening of the bone.

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The eMedicineHealth doctors ask about Prostate Cancer:

Prostate Cancer - Symptoms

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