Skip to main content
doctor's charts with stethoscope and a blue ribbon symbolising prostate cancer
By In-house Team, Circle Health Group

Prostate Cancer: Signs and Symptoms

Learn about the signs and symptoms of prostate cancer, its prevalence, and why early screening is crucial. Discover when to see a doctor and understand the importance of proactive healthcare

Prostate cancer is a significant health concern among men, and understanding its signs and symptoms is essential for early detection and effective management. In the UK, there are around 52,300 new prostate cancer cases diagnosed every year; that's more than 140 every day.

In this guide, we’ll provide insights into the prevalence of prostate cancer, survival rates, the range of symptoms that can manifest, and the importance of proactive screening.

Age is a significant factor, as the risk of prostate cancer increases with age, particularly in men over 50.

Prostate cancer: understanding the basics

Prostate cancer is a common malignancy originating in the prostate gland—a vital part of the male reproductive system, which is responsible for producing seminal fluid. The disease primarily affects older men and ranges from slow-growing to aggressive tumours.

Although the exact cause of prostate cancer remains unclear, several risk factors have been identified that can increase the likelihood of its development. Age is a significant factor, as the risk of prostate cancer increases with age, particularly in men over 50.

Family history also plays a role, as men with close relatives (father or brother) who have had prostate cancer are at a higher risk. Moreover, certain ethnic backgrounds, including black men of Afro-Caribbean or African descent, have a higher incidence rate in the UK.

The symptoms of prostate cancer

Identifying the symptoms of prostate cancer can be challenging, as they often overlap with other conditions and can vary from person to person. Understanding these potential indicators is crucial for early diagnosis and improved outcomes.

Changes in urinary habits

One of the most common signs of prostate cancer involves changes in urinary habits. Men may experience frequent urination, especially during the night (nocturia). They might also struggle with a weak or interrupted urine flow or have difficulty starting and stopping while urinating. These changes can disrupt daily life and should prompt further medical evaluation.

Blood in urine or semen

The presence of blood in urine or semen, known as hematuria or hematospermia, can be alarming and should never be ignored. While this symptom can be indicative of various conditions, including infections or injuries, it's essential to rule out prostate cancer as a potential cause, which can only be done through medical assessment.

Pelvic pain or discomfort

Prostate cancer can cause discomfort or pain in the pelvic region, lower back, hips, or upper thighs. This pain might vary in intensity and duration and can be accompanied by a sense of pressure. If you experience persistent pain in these areas, consulting a healthcare professional is recommended for accurate diagnosis.

Erectile dysfunction

Changes in sexual function, such as difficulty achieving or maintaining an erection (erectile dysfunction), can also be linked to prostate cancer. While this symptom can stem from various factors, including stress or other health conditions, it's worth discussing with a doctor, especially if accompanied by other potential symptoms.

When to see a doctor

If you notice any persistent changes in urinary habits or sexual function, or experience discomfort or pain in the pelvic region, it's essential to consult a healthcare professional.

While these symptoms may not always indicate prostate cancer, they merit attention in order to rule out potential underlying health issues, for example benign prostate enlargement. Early medical consultation can provide clarity and guide appropriate next steps.

Asymptomatic prostate cancer

Some cases of prostate cancer can be asymptomatic, meaning they show no noticeable signs. This absence of symptoms highlights the importance of regular check-ups and screenings, especially for individuals at higher risk due to age, family history, or other factors.

Regular screenings can catch prostate cancer at an early stage, offering a better chance of successful treatment.

The importance of screening

Given that prostate cancer often develops without causing noticeable symptoms until it reaches an advanced stage, screening is paramount for early detection.

Screening typically involves a prostate-specific antigen (PSA) blood test and a digital rectal exam (DRE), also referred to as prostate mapping. These tests help identify potential issues early, allowing healthcare professionals to recommend further evaluation and treatment if necessary.

The screening process

During a PSA test, a blood sample is taken and analysed for PSA levels. Elevated PSA levels might indicate prostate issues, though further testing is required to confirm the presence of cancer.

Prostate mapping involves the use of MRI scanning and/or ultrasound imaging to create a detailed map of the prostate gland, including any cancerous or abnormal tissue. This information can help guide treatment decisions, including mapping for radiation for prostate cancer, prostate mapping biopsy, and template prostate mapping biopsy.

Understanding the signs and symptoms of prostate cancer empowers individuals to take charge of their health. By recognising the importance of screening and seeking medical attention when needed, you can play an active role in your wellbeing. Remember, early detection can make a significant difference in the treatment and outcomes of prostate cancer.

Prostate cancer survival rates and statistics

Gaining an understanding of the survival rates and statistics associated with prostate cancer offers valuable insights into the impact of the disease and emphasises the significance of early detection and effective treatment.

While a diagnosis of prostate cancer can bring concerns, it's important to recognise that advancements in medical care and increased awareness have notably enhanced outcomes for those affected.

Survival rates

The prognosis for prostate cancer in the UK is generally positive, with a high survival rate. According to Cancer Research UK, the 5-year relative survival rate for prostate cancer diagnosed in stages 1 and 2 is nearly 100%, indicating that nearly all men diagnosed at these stages survive for at least five years after diagnosis.

Even when prostate cancer has spread to distant parts of the body, and is caught in stage 4, the 5-year relative survival rate is approximately 50%, signifying notable progress in the effectiveness of treatments.

Importance of early detection

Early detection plays a pivotal role in achieving higher survival rates. Regular screenings enable medical professionals to identify prostate cancer in its early stages, when it's more treatable. When the disease is confined to the prostate or has not spread extensively, the prospects of successful treatment are considerably improved.

Age and outlook

Age is a significant factor influencing prostate cancer survival rates. Older individuals with other health conditions may experience a more varied prognosis. It's important to consider overall health and individual circumstances when assessing the outlook.

Advances in research and treatment

Ongoing research is continually enhancing treatment options and outcomes for prostate cancer patients. New therapies, surgical techniques, and targeted treatments are consistently being developed to enhance patient care and extend survival rates.

Paul shares his amazing story, highlighting the importance of getting prostate symptoms checked out as soon as possible.
While survival rates offer valuable insights, it's crucial to remember that every person's experience with prostate cancer is unique. Factors such as the stage of cancer, overall health, and treatment choices collectively contribute to the prognosis.

Lifestyle and prevention

Maintaining a healthy lifestyle plays a crucial role in reducing the risk of prostate cancer and promoting overall wellbeing. While there is no foolproof way to prevent the disease, adopting certain habits can contribute to a lower risk profile.

Here's a closer look at the lifestyle factors and strategies that can help safeguard your prostate health.

Eat a balanced diet

Nourishing your body with a diet rich in fruits, vegetables, whole grains, and lean proteins can provide essential nutrients and antioxidants. Focus on foods containing lycopene, found in tomatoes and watermelon, which has been linked to prostate health. Incorporate sources of omega-3 fatty acids, like fatty fish, to support inflammation control.

Keep your physical activity levels up

Engaging in regular exercise offers numerous benefits, including weight management and improved cardiovascular health. Aim for at least 150 minutes of moderate-intensity aerobic activity each week, such as brisk walking or cycling. Strength training exercises can also help maintain muscle mass and support overall health.

Weight management

Maintaining a healthy weight is vital for reducing the risk of various health conditions, including prostate cancer. Excess body weight, particularly around the waist, can increase inflammation and hormone levels, potentially contributing to cancer development. Aim for a balanced caloric intake and regular exercise to achieve and maintain a healthy weight.

Limiting red meat and dairy

While there's no need to eliminate them entirely, reducing consumption of red meat and high-fat dairy products may lower your risk of prostate cancer. Opt for lean protein sources like poultry, fish, beans, and legumes.

Smoking is linked to an increased risk of aggressive prostate cancer.

Avoiding tobacco and limiting alcohol

Smoking is linked to an increased risk of aggressive prostate cancer, making tobacco cessation essential. Additionally, limiting alcohol consumption can have multiple health benefits, including reducing the risk of cancer.

Hydration and stress management

Staying hydrated supports your body's functions, including maintaining a healthy prostate. Managing stress through relaxation techniques, meditation or hobbies can also contribute to overall wellbeing.

Regular check-ups

While lifestyle modifications can lower your risk, routine check-ups and screenings remain fundamental. Regular prostate cancer screenings, including PSA tests and DREs, provide early detection opportunities that can save lives.

Remember, making positive lifestyle changes doesn't just impact prostate health; it enhances your overall quality of life. By adopting a proactive approach to wellbeing, you empower yourself to take control of your health and reduce the risk of prostate cancer.

More articles

View all

How do I book an appointment?

If you're concerned about symptoms you're experiencing or require further information on this subject, talk to a GP or see an expert consultant at your local Circle Hospital.

i