What are the symptoms of prostate cancer?

Most men with early prostate cancer don’t have any signs or symptoms.

One reason for this is the way the cancer grows. You’ll usually only get early symptoms if the cancer grows near the tube you urinate through (the urethra) and presses against it, changing the way you urinate (pee). But because prostate cancer usually starts to grow in a different part of the prostate, early prostate cancer doesn’t often press on the urethra and cause symptoms.

If you do notice changes in the way you urinate, this is more likely to be a sign of a very common non-cancerous problem called an enlarged prostate, or another health problem. But it’s still a good idea to get it checked out. Changes include:

  • difficulty starting to urinate or emptying your bladder
  • a weak flow when you urinate
  • a feeling that your bladder hasn’t emptied properly
  • dribbling urine after you finish urinating
  • needing to urinate more often, especially at night
  • a sudden urge to urinate – you may sometimes leak before you get to the toilet.

If prostate cancer breaks out of the prostate (locally advanced prostate cancer) or spreads to other parts of the body (advanced prostate cancer), it can cause other symptoms, including:

  • back pain, hip pain or pelvis pain
  • problems getting or keeping an erection
  • blood in the urine or semen
  • unexplained weight loss.

These symptoms can also be caused by other things that aren’t prostate cancer, like prostatitis (infection and swelling of the prostate), diabetes, or some medicines. But it’s still a good idea to get any symptoms checked out by your GP so they can find out what’s causing them and make sure you get the right treatment if you need it.

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References

Updated: May 2017 | To be reviewed: May 2019

  • List of references  

    • Chapple C, Abrams P. Male Lower Urinary Tract Symptoms (LUTS): Lower Urinary Tract Symptoms (LUTS): An International Consultation on Male LUTS. Société Internationale d’Urologie (SIU),; 2013.
    • Collin SM, Metcalfe C, Donovan J, Lane JA, Davis M, Neal D, et al. Associations of lower urinary tract symptoms with prostate-specific antigen levels, and screen-detected localized and advanced prostate cancer: a case-control study nested within the UK population-based ProtecT (Prostate testing for cancer and Treatment) study. BJU Int. 2008 Jun 6;102(0):1400–6.
    • Emberton M, Fitzpatrick JM, Garcia-Losa M, Qizilbash N, Djavan B. Progression of benign prostatic hyperplasia: systematic review of the placebo arms of clinical trials. BJU Int. 2008;102(8):981–6.
    • Lloyd T, Hounsome L, Mehay A, Mee S, Verne J, Cooper A. Lifetime risk of being diagnosed with, or dying from, prostate cancer by major ethnic group in England 2008–2010. BMC Med. 2015 Jul 30;13(1):171.
    • Mottet N, Bellmunt J, Briers E, Bolla M, Cornford P, De Santis M, et al. Guidelines on prostate cancer. European Association of Urology; 2016.
    • National Institute for Health and Care Excellence. Clinical Knowledge Summary: prostate cancer diagnosis [Internet]. 2011 [cited 2016 Oct 12]. Available from: http://cks.nice.org.uk/prostate-cancer#!diagnosis
    • National Institute for Health and Care Excellence. Prostate Cancer: diagnosis and treatment. Full guideline 175. 2014.
    • National Institute for Health and Care Excellence. Suspected cancer: recognition and referral. NICE Guideline 12. June 2015 [Internet]. 2015. Available from: http://www.nice.org.uk/guidance/ng12/evidence/full-guidance-65700685
    • Popiolek M, Rider JR, Andrén O, Andersson S-O, Holmberg L, Adami H-O, et al. Natural History of Early, Localized Prostate Cancer: A Final Report from Three Decades of Follow-up. Eur Urol. 2013;63(3):428–35.
    • Rees J, Bultitude M, Challacombe B. The management of lower urinary tract symptoms in men. BMJ. 2014 Jun 24;348(1):g3861–g3861.