Signs and symptoms of prostate cancer

Men describe symptoms they experienced before diagnosis.

Men with early prostate cancer may not have any symptoms, as these usually only occur when the cancer gets big enough to put pressure on the urethra (the tube that carries the urine to the outside). In men over 50, the prostate gland can get larger due to a non-cancerous condition known as benign prostatic hyperplasia (BPH).

The symptoms of both benign prostatic hyperplasia and prostate cancer are very similar and it is often difficult to tell the difference between the two without further tests.

Over three-quarters of the men we interviewed consulted their GPs because of signs or symptoms, although a few men were diagnosed as the result of routine PSA tests (see ‘The PSA test’ and ‘Ideas on PSA screening & tests on demand’). Before the diagnosis was made many of the men we talked with reported difficulty in passing urine, urgency, and passing urine more frequently than usual, particularly at night.

Some men gave detailed descriptions of their symptoms. In some cases symptoms were quite mild while in other cases symptoms were much more severe.

Richard describes his symptoms. He had to get up several times during the night to pass urine. He…

Age at interview 53

Gender Male

Age at diagnosis 47

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Comments that his symptoms of difficulty in passing urine got steadily worse.

Age at interview 64

Gender Male

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Considers the lack of response from his doctor when he described his problems passing water.

Age at interview 66

Gender Male

Age at diagnosis 66

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Explains how investigations started after a urine infection that would not clear with antibiotics.

Age at interview 57

Gender Male

Age at diagnosis 56

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Comments that his symptoms began with an irregular flow when passing water.

Age at interview 67

Gender Male

Age at diagnosis 66

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Describes his extremely painful water retention.

Age at interview 80

Gender Male

Age at diagnosis 77

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Bruce sought medical advice after experiencing changes both in sexual potency and frequency of…

Age at interview 88

Gender Male

Age at diagnosis 82

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Haq had symptoms for about six months. Passing urine was difficult and painful.

Age at interview 49

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In a few instances men mentioned blood in their urine and one man said that the first sign that anything was wrong was excruciating back pain.

Comments on how he first found traces of blood in his urine.

Age at interview 77

Gender Male

Age at diagnosis 75

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Stephen’s prostate cancer was diagnosed very late. His first symptom was back pain, due to…

Age at interview 62

Gender Male

Age at diagnosis 60

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Ideas about causes of prostate cancer

Although the causes of prostate cancer are unknown some factors seem to be associated with a slight increase in the likelihood of developing the disease....