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Prostate cancer

Prostate cancer, like other cancers, becomes much more common as you get older and is considered rare in men under the age of 45.
 
How is prostate cancer found?
Early stage prostate cancer rarely causes symptoms.

Many urinary symptoms can be due to other prostate problems such as enlargement of the prostate – which is not prostate cancer.  Please see your doctor if you notice any changes
.
 
Look for:
 trouble stopping or starting the flow of urine  
 taking longer because the urine stream is weak or because it stops and starts
 dribbling urine after you have finished
 difficulty passing urine
 pain or a burning feeling when you urinate
 blood in the urine or semen 
 Pain during ejaculation
 pain in lower back, hips or upper thighs
 
More information on common prostate problems.  

 
What tests are there?

There is no single, simple test that will tell you that you have prostate cancer.

Prostate Specific Antigen is produced by your prostate, and can rise if there is a problem with your prostate - not just cancer. The PSA test measures your level of PSA to see if it is higher than is normal for your ageThe doctor will usually do a Digital Rectal Examination (DRE) too - a gloved finger is inserted into your rectum to feel your prostate gland. Further tests are needed if the results of these tests suggest that prostate cancer may be present.
 
Decisions about prostate cancer treatments are made with your doctor, taking into account your age and life expectancy, the pros and cons of different treatments as well as what is known about the tumour.
 

 
Should healthy men have a PSA test? 
If you have a PSA test, you may need to make further decisions after the test results are back, especially if your blood PSA level is raised.
So you need to think about several things before you have a PSA, including
 
 how worried you are about having prostate cancer
 your age and health
 your risk of having prostate cancer - did your brother or father have prostate cancer, especially at an early age?  
 the risk and benefits of finding it earlyA PSA test may find prostate cancer when it is small and curable but on the other hand, there is the risk of unnecessary and possibly harmful treatment with complications such as erectile problems (difficulty having erections, impotence) and urinary incontinence (inability to hold urine, urine leakage, having to wear urine pads).
 
Talk to your doctor about all these things before you make your own decision.
 

  
Find out more  
Lions Australia Prostate Cancer website Some information is available in other languages.
Andrology Australia 
The early detection of prostate cancer  - Cancer Council Australia fact sheet
Prostate cancer screening position statement  - Cancer Council Australia Position Statement 
 
 



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