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Cancer

Prostate Cancer

Prostate cancer is a tumour of the prostate gland. It often grows slowly and may cause no symptoms for years, which is why PSA screening and examination matter after the age of 50.

Symptoms

  • Often silent in early stages
  • Urinary symptoms similar to BPH
  • Blood in urine or semen
  • Bone pain in advanced disease

Causes and risk factors

  • Age-related genetic changes in prostate cells

Diagnosis

  • Serum PSA with free/total ratio
  • Digital rectal examination
  • Multiparametric MRI of the prostate
  • TRUS or fusion-guided biopsy
  • Bone scan or PSMA PET for staging

Treatment

  • Active surveillance for low-risk disease
  • Radical prostatectomy
  • Radiotherapy with or without hormone therapy
  • Hormone therapy for advanced disease

Prevention

  • Annual PSA and examination after 50, or 45 with family history
  • Maintain a healthy weight
  • Diet rich in vegetables and low in processed fat

Recovery

After radical prostatectomy, the catheter stays about a week and continence improves over weeks to months with pelvic floor exercises.

Information on this website is for patient education only and does not replace an in-person consultation. Treatment results vary between individuals and no outcome is guaranteed.