What does prostate cancer do to a man

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Prostate Cancer: Causes, Risks, Symptoms, Diagnosis, Treatment

What is prostate cancer?

Prostate cancer is marked by an uncontrolled (malignant) growth of cells in the prostate gland. The prostate is the walnut-sized gland in men, located just below the bladder and in front of the rectum, surrounding the urethra – the tube that carries urine out of the bladder. The prostate produces and stores fluid that helps to make semen.

What does prostate cancer do to a man

Male Reproductive Tract Illustration UCLA

Prostate cancer is the most common type of cancer found in men in the United State, aside from skin cancer, and often begins without symptoms. Prostate cancer can be slow-growing, such that many men die of other diseases before the prostate cancer causes significant problems. However, many prostate cancers are more aggressive and can spread outside the confines of the prostate gland, which can be deadly. The prostate cancer survival rate is greatly improved with early detection and personalized treatment.

What causes prostate cancer?

It is not yet known exactly what causes prostate cancer, but researchers are studying certain risk factors to determine if these factors contribute to prostate cells developing into cancer.

Who is at risk for prostate cancer?

Certain men are at higher risk than others for prostate cancer, which may affect when they should start being screened. The risk increases with age, particularly after age 50. Some risk factors include:

  • African American men are twice as likely as white men to develop the disease.
  • Having a family history – a father or a brother diagnosed with prostate cancer, particularly if it is at a relatively early age – increases the risk.
  • Having a family history of breast and ovarian cancer may also be associated with an inherited risk (BRCA gene mutation) of developing prostate cancer
  • High-fat diet and/or obesity

What are the symptoms of prostate cancer?

In most cases, prostate cancer causes no symptoms.

In rare cases, men may experience certain symptoms when they have advanced prostate cancer. However, these symptoms are also present in many men who do not have cancer, so it is best to discuss them with a doctor before jumping to any conclusions.  Some of these symptoms can include difficulty emptying the bladder, blood in the urine, and bone pain.

Can prostate cancer be prevented?

There are no clear prevention strategies for prostate cancer. There is some conflicting evidence that a healthy diet composed of low fat, high vegetables and fruits may help reduce your risk of prostate cancer. Routine screening, with PSA blood test and physical exam, is important to detect prostate cancer at an early stage. A healthy diet and regular exercise are also critical in maintaining good health and preventing disease in general.

Symptoms of prostate cancer do not usually appear until the prostate is large enough to affect the tube that carries urine from the bladder out of the penis (urethra).

When this happens, you may notice things like:

  • an increased need to pee
  • straining while you pee
  • a feeling that your bladder has not fully emptied

These symptoms should not be ignored, but they do not mean you have prostate cancer.

It's more likely they're caused by something else, such as prostate enlargement.

Information:

Coronavirus advice

Get advice about coronavirus and cancer:

  • Macmillan: Coronavirus guidance for people with cancer
  • Cancer Research UK: Coronavirus and cancer

What is the prostate?

The prostate is a small gland in the pelvis and is part of the male reproductive system.

About the size of a walnut, it's located between the penis and the bladder, and surrounds the urethra.

The main function of the prostate is to produce a thick white fluid that creates semen when mixed with the sperm produced by the testicles.

Causes of prostate cancer

The causes of prostate cancer are largely unknown. But certain things can increase your risk of developing the condition.

The chances of developing prostate cancer increase as you get older. Most cases develop in men aged 50 or older.

For reasons not yet understood, prostate cancer is more common in black men and less common in Asian men.

Men whose father or brother were affected by prostate cancer are at slightly increased risk themselves.

Recent research also suggests that obesity increases the risk of prostate cancer.

Tests for prostate cancer

There's no single test for prostate cancer.

All the tests used to help diagnose the condition have benefits and risks that your doctor should discuss with you.

The most commonly used tests for prostate cancer are:

  • blood tests
  • a physical examination of your prostate (known as a digital rectal examination, or DRE)
  • an MRI scan
  • a biopsy

Find out more about how prostate cancer is diagnosed

PSA testing

The blood test, called a prostate-specific antigen (PSA) test, measures the level of PSA and may help detect early prostate cancer.

If you are over 50, you can ask a GP for a PSA test.

PSA tests are not routinely used to screen for prostate cancer, as results can be unreliable.

Your PSA level can also be raised by other, non-cancerous conditions.

Raised PSA levels also cannot tell a doctor whether you have life-threatening prostate cancer or not.

If you have a raised PSA level, you may be offered an MRI scan of the prostate to help doctors decide if you need further tests and treatment.

Find out more about PSA screening and testing in the UK

Treating prostate cancer

If you do have prostate cancer, you may not need treatment.

If the cancer is at an early stage and not causing symptoms, your doctor may suggest either "watchful waiting" or "active surveillance".

The best option depends on your age and overall health. Both options involve carefully monitoring your condition.

Some cases of prostate cancer can be cured if treated in the early stages.

Treatments include:

  • surgically removing the prostate
  • radiotherapy – either on its own or alongside hormone therapy

Some cases are only diagnosed at a later stage, when the cancer has spread.

If the cancer spreads to other parts of the body and cannot be cured, treatment is focused on prolonging life and relieving symptoms.

All treatment options carry the risk of significant side effects, including erectile dysfunction and urinary symptoms, such as needing to use the toilet more urgently or more often.

For this reason, you may choose to delay treatment until there's a risk the cancer might spread.

Newer treatments, such as high-intensity focused ultrasound (HIFU) and cryotherapy, aim to reduce these side effects.

Some hospitals may offer them as an alternative to surgery, radiotherapy or hormone therapy.

But the long-term effectiveness of these treatments is not known yet.

Living with prostate cancer

As prostate cancer usually progresses very slowly, you can live for decades without symptoms or needing treatment.

Nevertheless, it can affect your life. As well as the possible side effects of treatment, a diagnosis of prostate cancer can understandably make you feel anxious or depressed.

You may find it beneficial to talk about the condition with your family, friends, a GP and other people with prostate cancer.

How does prostate cancer affect a man?

Prostate cancer can spread to nearby organs, such as your bladder, or travel through your bloodstream or lymphatic system to your bones or other organs. Prostate cancer that spreads to the bones can cause pain and broken bones.

Is prostate cancer in men serious?

Prostate cancer is the second leading cause of cancer death in American men, behind only lung cancer. About 1 man in 41 will die of prostate cancer. Prostate cancer can be a serious disease, but most men diagnosed with prostate cancer do not die from it.

What is the life expectancy of a man with prostate cancer?

Survival for all stages of prostate cancer more than 95 out of 100 (more than 95%) will survive their cancer for 1 year or more. more than 85 out of 100 (more than 85%) will survive their cancer for 5 years or more. almost 80 out of 100 (almost 80%) will survive their cancer for 10 years or more.

What are the 5 early warning signs of prostate cancer?

Some Early Signs Of Prostate Cancer Painful urination or ejaculation. Blood in the urine or semen. Sudden erectile dysfunction (ED) Bone pain (from spread)