Most men diagnosed with prostate cancer experience no symptoms and most early-stage prostate cancers are discovered during routine screening, such as a prostate-specific antigen test (PSA) or digital rectal exam (DRE).

If the tumor becomes larger, the following symptoms may appear.

  • Frequent urination, including the need to get up often during the night to urinate
  • Hesitancy in starting the flow of urine or inability to urinate (urinary retention)
  • Loss of force of the stream of urine
  • Pain or discomfort while urinating
  • Impotence
  • Pain with ejaculation
  • Blood in the urine or semen
  • Back pain or bone pain that is new and unexplained by recent injury or increased activity
  • Incontinence of bowel or bladder contents

These symptoms can also indicate a noncancerous condition, such as benign prostate hyperplasia (BPH). If you experience any of these symptoms, it is important to see your family physician or a urologist.

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Screening and Diagnosis