Signs and Symptoms of Prostate Cancer


Symptoms and Signs of Prostate Cancer

Prostate Cancer Symptoms Infographic

Symptoms of Local spread

  • Not able to maintain the flow of the urine.
  • Trouble starting urination
  • Increased frequency of urination
  • Blood in urine or semen.
  • Pain while urinating.

Symptoms of Distant spread

  • Pain at one or more bony sites
  • Cough, breathlessness
  • Jaundice

Most common sites of spread of prostate cancer are adrenal gland, bone, liver and lung.

First Sign and Symptom of Prostate Cancer

Initial symptoms of prostate cancer are caused due to interruption of urinary stream leading to incomplete emptying of bladder. This usually leads to symptoms such as-

  • Increased frequency of urination
  • Need to get up at night multiple times to urinate
  • Sense of incomplete voiding
  • Not able to control the flow of urine
  • Dribbling of urine

Also urinary retention may cause infection in urine leading to-

  • Burning sensation in urine
  • Increased frequency of urination
  • Episodes of fever

Symptoms of Advanced Stage Prostate Cancer

Symptoms of advanced disease may be caused due to local involvement of nearby structures and metastasis to distant sites.

Local spread may cause:

  • Increased frequency of micturition
  • Getting up at night multiple times for urination
  • Sense of incomplete emptying of bladder
  • Interrupted steam of urine flow
  • Painful urination
  • Blood in urine or semen

Distant spread may cause:

  • Back pain or pain at bony sites
  • Chest discomfort, cough, breathlessness
  • Yellowish discoloration of eyes and/or urine

Where does it spread? What are the symptoms of metastatic disease?

More commonly prostate cancer metastasis can occur in bones, lymph nodes, lungs, liver, brain, etc. The symptoms of metastatic disease depend on the site of metastasis, along with local symptoms discussed above. These may be one or more of the following-

  • metastasis is most often asymptomatic
  • back pain
  • breathlessness, cough, chest discomfort
  • yellowish discoloration of eyes and/or urinr
  • altered sensorium, headache, vomiting
  • Enlarged lymph nodes, usually pelvic, but rarely supraclavicular or axillary (left-sided)
  • Ascites and pleural effusion are rare
  • Locally extensive cancer -may present with pelvic pain, rectal bleeding or obstruction

How does it feel when you have prostate cancer? Does it make you feel tired?

In addition to the symptoms discussed above, prostate cancer may lead to deep seated, dullness and stiffness in pelvis and lower back, loss of weight and appetite, fatigue, nausea and vomiting. Back pain may be caused due to metastasis or spread of disease to bones of back.

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