What are the 3 crucial prostate cancer symptoms that everyone should know about?

If you’ve recently been diagnosed with prostate cancer, you may be asking yourself if there were warning signs or symptoms you should have noticed earlier.

So what are the warning signs of prostate cancer?

Unfortunately, there usually aren’t any early warning signs for prostate cancer. The growing tumor does not push against anything to cause pain, so for many years the disease may be silent. That’s why screening for prostate cancer is such an important topic for all men and their families.

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In rare cases, prostate cancer can cause symptoms. Contact your doctor for an evaluation if you experience any of the following:

  • A need to urinate frequently, especially at night, some- times urgently
  • Difficulty starting or holding back urination
  • Weak, dribbling, or interrupted flow of urine
  • Painful or burning urination
  • Difficulty in having an erection
  • A decrease in the amount of fluid ejaculated
  • Painful ejaculation
  • Blood in the urine or semen
  • Pressure or pain in the rectum
  • Pain or stiffness in the lower back, hips, pelvis, or thighs

Remember: urinary symptoms don’t necessarily mean you have cancer. Prostatitis or BPH (Benign Prostatic Hypertrophy, also known as enlargement of the prostate) are benign diseases but can cause similar symptoms and are very common.

What about difficulty in having an erection? Again, this is most likely not caused by cancer but by other factors such as diabetes, smoking, cardiovascular disease, or just plain getting older.

That said: Symptoms are symptoms, and no matter what’s most likely to be causing them, you should get them checked out by a doctor.

There are no warning signs of early prostate cancer. You can’t feel the growing tumor pushing against anything else, so there’s no pain. You can have the disease for years and not know it. That’s why regular prostate cancer screenings are so important.

Symptoms of Prostate Cancer

Once a tumor causes your prostate gland to swell, or once cancer spreads beyond your prostate, you may have symptoms including:

  • The need to pee often, especially at night
  • Trouble starting or stopping a stream of urine
  • A weak stream or one that starts and stops
  • Leaking pee when you laugh or cough
  • Not being able to pee standing up
  • Pain or burning when you pee
  • Pain or burning when you ejaculate
  • Less fluid when you ejaculate
  • Blood in your pee or semen
  • Pressure or pain in your rectum
  • Pain or stiffness in your lower back, hips, pelvis, or thighs
  • New trouble getting an erection

These aren’t symptoms of the cancer itself. They happen because the cancer growth is blocking your prostate.

Symptoms of Advanced Prostate Cancer

Symptoms of advanced prostate cancer include:

  • Dull, deep pain or stiffness in your pelvis, lower back, ribs, or upper thighs; pain in the bones of those areas
  • Loss of weight and appetite
  • Fatigue, nausea, or vomiting
  • Swelling of your lower limbs
  • Weakness or paralysis in your lower limbs, often with constipation
  • Bowel problems

Other Prostate Conditions

These symptoms don’t always mean you have prostate cancer. Some other conditions may have similar signs.

Prostatitis. This is often a bacterial infection that causes inflammation of your prostate gland. At least half of men will have it at some point. Medications can treat it. Prostatitis symptoms include:

  • Trouble peeing
  • Burning, stinging, or pain when you pee
  • An urgent need to pee often
  • Chills and fever
  • Lower back pain or body aches
  • Pain in your lower belly or groin, or behind your scrotum
  • Pressure or pain in your rectum
  • Sexual problems
  • Pain when you ejaculate

Benign prostatic hyperplasia (BPH). This is an enlarged prostate because of unusual cell growth that isn’t caused by cancer. Signs of BPH include:

  • Trouble starting a urine stream
  • Peeing often, especially at night
  • Feeling like your bladder hasn’t fully emptied after you pee
  • A strong or sudden urge to pee
  • Weak or slow urine stream
  • A urine stream that stops and starts several times while you pee
  • Pushing or straining to start a urine stream

 

Bladder infection. Your bladder holds your urine. The organ is located directly above your prostate. Some bladder cancer symptoms can overlap with those for prostate cancer. They may include:

  • Blood in your urine
  • Pain or burning feeling while you urinate
  • An urgent or frequent need to urinate, even if your bladder isn’t full
  • Waking up at night to urinate

Erectile dysfunction. This condition makes it hard for you to get or keep an erection. It’s also called impotence. The main signs of erectile dysfunction is not being able to achieve an erection, or to have it last long enough to have sex.

Urinary tract infection (UTI). This can happen when bacteria grow in your bladder or kidneys. Some infections are caused by BPH blocking the flow of urine out of your bladder. Doctors treat them with antibiotics. UTI symptoms include:

  • Needing to pee more than usual or more often
  • A strong urge to pee
  • Pain, discomfort, or burning when you pee
  • Pain, pressure, or tenderness in your lower belly, side, or upper back
  • Urine that looks cloudy or smells bad
  • Fever
  • Chills
  • Nausea and vomiting

 

When to See Your Doctor About Prostate Cancer Symptoms

Talk to your doctor if:

  • You have trouble urinating or find that urination is painful or different from usual. Your doctor should check your prostate gland to see whether it is enlarged, inflamed with an infection, or cancerous.
  • You have pain that doesn’t go away in your lower back, pelvis, upper thighbones, or other bones.
  • You lose weight for no clear reason.
  • You have swelling in your legs.
  • You have weakness in your legs or a hard time walking, especially if you also have constipation.

Show Sources

SOURCES: 

Prostate Cancer Foundation: “Prostate Cancer Symptoms and Signs.”

Prostate Cancer UK: “Advanced prostate cancer: Managing symptoms.”

Prostate Cancer Research Institute. 

National Library of Medicine. 

National Prostate Cancer Coalition.

National Cancer Institute: “Understanding Prostate Changes: A Health Guide for Men.”

Harvard Health Publishing: “Urinary Tract Infection in Men.”

Memorial Sloan Kettering Cancer Center: “Bladder Cancer Signs and Symptoms.”

National Institute of Diabetes and Digestive and Kidney Diseases: “Symptoms & Causes of Erectile Dysfunction.”

What is the number 1 symptom of prostate cancer?

Urinating often, especially at night. Trouble emptying the bladder completely. Pain or burning during urination. Blood in the urine or semen.

What are the red flags for prostate cancer?

What are 5 Common Warning Signs of Prostate Cancer?.
Pain and/or a "burning sensation" when urinating or ejaculating..
Frequent urination, especially during the nighttime..
Trouble starting urination, or stopping urination once in progress..
Sudden erectile dysfunction..
Blood in either urine or semen..

What are the advanced signs of prostate cancer?

Signs and symptoms of stage 4 prostate cancer may include:.
Painful urination..
Decreased force in the stream of urine..
Blood in the semen..
Bone pain..
Swelling in the legs..
Fatigue..

What is the most common physical finding associated with prostate cancer?

Common physical examination findings of prostate cancer include cachexia, pallor, anesthesia in the lower limbs, paresis in the lower limbs, lower-extremity lymphedema, bony tenderness, suprapubic palpation of the bladder, and an asymmetrical boggy mass with the change of texture may be palpated in the anterior wall of ...