December 8, 2021

Know the Possible Warning Signs of Prostate Cancer

If this common cancer is caught early, the prognosis is good

Prostate illustration

The prostate is a vital element of the male biological reproductive system. It’s about the size and shape of a walnut — but if left unchecked, this small gland can cause big problems.

Advertisement

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

Each year, close to 200,000 Americans receives a diagnosis of prostate cancer, making it one of the most common cancers affecting people who have a prostate. That includes cisgender men, transgender women, intersex people and non-binary people with biologically male sex organs.

If diagnosed early, though, the survival rate for prostate cancer is high. So what should you be on the lookout for? Urologist Christopher Weight, MD, says most people with prostate cancer don’t have any signs or symptoms, but there are some changes you may notice that you should bring up with your doctor.

8 changes you shouldn’t ignore

Early-stage prostate cancer rarely causes symptoms — but as the disease progresses, you may experience certain warning signs. Knowing the signs of prostate cancer will help you keep an eye out for any concerning changes to your health.

“Keep in mind, though, these symptoms don’t indicate trouble with your prostate,” Dr. Weight says. “In fact, almost all of them come standard with aging. But if you experience several symptoms or have other concerns, it may be a good idea to visit a urologist.”

1. Slow or weak urine flow

Most people with a prostate have trouble urinating as they age, and it’s not usually due to prostate cancer. Still, if you experience a slow or weak urine flow, or if your urine flow starts and stops beyond your ability to control it, it’s a good idea to get your prostate checked.

2. Frequent need to urinate

A tumor on the prostate can put pressure on your bladder and urethra, so take note if you start to feel a frequent and sometimes urgent need to urinate, especially at night.

Advertisement

3. Painful or burning urination

This condition, known as dysuria, is most commonly associated with urinary tract infections, but it can sometimes be a sign of prostate cancer.

4. Blood in the urine

Another possible warning sign of prostate cancer is hematuria, or blood in the urine. Though this can be associated with other health issues, including a urinary tract infection, it’s worth getting checked out.

5. Prostate pain

A rare but early sign of prostate trouble is unexplained pain in the area of your prostate, especially when you’re sitting down. “This could also indicate a prostate infection, but only your urologist can say for certain,” Dr. Weight says.

6. Loss of bladder or bowel control

Both urinary incontinence and fecal incontinence can come with age or be related to other medical conditions. But if you’re experiencing bladder leakage or an inability to control your bowel movements, speak with your doctor about ruling out prostate cancer.

7. Ejaculation issues

It’s worth noting, yet again, that all of these issues can be related to other health conditions. But if you’re experiencing any of the following symptoms, touch base with a urologist to get to the bottom of it.

  • Painful ejaculation.
  • Decreased volume of ejaculation.
  • Inability to keep an erection.
  • Blood in the semen (hematospermia).

8. Pain or numbness

As prostate cancer progresses, it may cause pain in your lower back, hips or chest, or numbness in your legs or feet. Most people receive a diagnosis before reaching this point, and of course, pain and numbness can be signs of a variety of other health issues, as well.

Advertisement

Lower your risk for prostate cancer

Prostate cancer is a serious disease, but early detection is key. Talk to your doctor about your risk factors and when or if you should be screened for prostate cancer — sometimes as early as age 40, if you’re considered high risk.

“There’s no way to eliminate the risk of getting prostate cancer,” Dr. Weight says, “but if you’re at a higher risk for developing the disease, there are steps you can take to lower your risk.”

  • Get regular prostate screenings.
  • Maintain a healthy weight.
  • Exercise regularly.
  • Eat a nutritious diet.
  • Quit smoking.

“When prostate cancer is diagnosed before it spreads to other parts of the body, about 97% of people live at least five years after diagnosis,” Dr. Weight says.

So pay attention to your prostate. It may be small — but knowing the warning signs can benefit your health in a big way.

Learn more about our editorial process.

Related Articles

Family tree of cancer history on a gradient blue background.
October 25, 2023
Is Prostate Cancer Genetic? Here’s What You Need To Know

Family history and genetics may heighten your risk for prostate cancer

trans woman at home researching on laptop
September 14, 2023
What Trans Women Should Know About Prostate Cancer

Anyone with a prostate can get prostate cancer, but some symptoms could be masked  

Older man jogs up steps at park during morning walk.
July 30, 2023
How To Exercise Safely When You Have Advanced Prostate Cancer

Check-in with your care team, and focus on low-impact exercises and walking for good gains

Man touching prostate surgery scar and holding cancer awareness ribbon.
January 5, 2023
Maintaining Your Sex Life After Prostate Cancer

Sex may be different after prostate cancer treatment, but it can still be enjoyable

Man in a doctor's office.
December 19, 2022
Men Ask: “Why Am I Peeing So Much?”

An enlarged prostate, diuretics and bladder irritants can all contribute

man and doctor discuss resluts of prostate tests
January 25, 2022
Doing ‘Active Surveillance’ for Prostate Cancer? Here’s Why You Need To Be Vigilant

Not following recommended follow-ups could put you at risk

Gloved hand holds a Prostate-Specific Antigen Test
December 20, 2021
Should You Take a PSA Test for Prostate Cancer?

This simple blood test can be key to early detection

Physician and patient discuss breast health during office appointment
March 26, 2024
What To Ask Your Oncologist When You’re Diagnosed With Breast Cancer

Being better informed can help you feel more confident about your care options and decisions

Trending Topics

Person in yellow tshirt and blue jeans relaxing on green couch in living room reading texts on their phone.
Here’s How Many Calories You Naturally Burn in a Day

Your metabolism may torch 1,300 to 2,000 calories daily with no activity

person getting a sinus massage between brows
5 Sinus Massage Techniques To Relieve Pressure and Promote Drainage

A gentle touch in all the right places may help drain your sinuses

woman snacking on raisins and nuts
52 Foods High In Iron

Pump up your iron intake with foods like tuna, tofu and turkey

Ad