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Understanding Signs of Prostate Cancer in Men Over 50

April 25, 2025

Consultation with a urologist for a male patient to screen for and check signs of prostate cancer.

Prostate cancer is a common type of cancer in men, especially those who are older than 50. Despite its prevalence, early signs often go unnoticed, so many men are unaware of the symptoms to look out for.

 

Being informed can make a significant difference in early detection and treatment outcomes. Let us explore the signs of prostate cancer in men and discuss when to visit a urologist.

Signs of Prostate Cancer in Men Over 50

The signs of prostate cancer in men can vary greatly from person to person. For some, symptoms may appear early, while for others, they may only emerge once the cancer has progressed.

 

Knowing these signs can help you identify potential issues and seek medical attention promptly.

Changes in Urination

One of the most common early signs of prostate cancer in men is changes in urinary habits. These changes are often due to the tumor pressing against the urethra.

 

Be mindful of the following symptoms:

 

  • Frequent need to urinate, more so at night
  • Difficulty starting or stopping urination
  • Weak or interrupted urine stream
  • Sensation of incomplete bladder emptying
  • Pain or burning during urination

 

Though these symptoms can also be linked to benign conditions like an enlarged prostate, they should not be ignored.

Blood in Urine or Semen

The presence of blood in urine or semen can be an alarming sign. This symptom is not exclusive to prostate cancer, but it is a clear indication that you should consult a healthcare professional. Blood in urine or semen is medically known as hematuria and hematospermia, respectively.

Erectile Dysfunction

Prostate cancer can sometimes lead to difficulties in achieving or maintaining an erection. This happens when cancer affects the nerves and blood vessels involved in sexual function. Erectile dysfunction can also result from other causes. However, it is worth discussing with your doctor if it emerges suddenly or unexpectedly.

Pain in the Hips, Back, or Pelvis

Advanced prostate cancer has the potential to spread to nearby bones, causing pain in the hips, back, or pelvis. If you notice persistent pain in these areas without explanation, it may be linked to your prostate health.

Unexplained Weight Loss or Fatigue

Unintentional weight loss and extreme fatigue are general signs linked with many cancers. This includes prostate cancer. If either persists without an obvious cause, it may indicate that the cancer has progressed.

When to Visit a Urologist

Knowing when to consult a urologist can be critical in the early detection of prostate cancer. Prostate cancer caught early is often treatable and manageable. Here are some key signs on which you should make an appointment.

If You Experience Symptoms

If you experience any of the symptoms mentioned above, do not delay in seeking medical advice. These symptoms are not always indicative of prostate cancer. However, only a urologist can provide an accurate diagnosis.

Regular Screenings After 50

Even if you are symptom-free, men over 50 should consider regular prostate cancer screenings. A urologist uses a prostate-specific antigen (PSA) blood test. In some cases, they may also use a digital rectal exam (DRE) to assess prostate health.

 

Higher-risk people should consider starting screenings earlier, typically around the age of 45. This includes those with a family history of prostate cancer or African American men.

Persistent Sexual Health Issues

Do you experience erectile dysfunction or other sexual health concerns? If so, a urologist can assess whether prostate cancer or another condition is the cause.

Evaluation of Risk Factors

Do you feel concerned about your risk of developing prostate cancer? A urologist can evaluate your family history and lifestyle. They will also consider other factors to provide personalized advice.

Treatment Options for Prostate Cancer in Men Over 50

If you are over 50 and facing prostate cancer, there are several effective treatment options available. Your healthcare team will guide you toward the best approach for your situation.

Active Surveillance

For slow-growing prostate cancer, you might not need immediate treatment. Active surveillance involves regular check-ups to monitor the cancer’s progress. This includes PSA tests and imaging. This approach allows you to avoid or delay other treatments and their potential side effects.

Surgery (Prostatectomy)

Surgery involves removing the prostate gland and is often recommended if the cancer is localized. Advances in surgical techniques mean quicker recovery times for many men. This includes robotic-assisted options, for example.

Radiation Therapy

This treatment uses powerful rays to find and destroy cancer cells. It is effective for both localized and some more advanced cases. Radiation can come in two forms. There are external beam therapy or internal options like brachytherapy. There, tiny radioactive seeds are placed inside the prostate.

Hormone Therapy

Hormone therapy helps by reducing levels of testosterone, which prostate cancer cells often rely on to grow. It is commonly used for advanced cancer or in combination with other treatments.

 

Each option has its pros and cons, so it is important to discuss them with your doctor and weigh them against your personal health goals. Remember, many men live full and active lives after treatment.

Treatment for Prostate Cancer in Men in Phoenix & Gilbert, AZ

Prostate cancer is a serious condition, but early detection can save lives. Learning to recognize its signs and knowing when to consult a urologist is essential. These are all great steps towards effective management and treatment.

 

If you are experiencing symptoms or feel unsure about your prostate health, trust Ironwood Urology’s Dr. Desi Avila. Dr. Avila is a fellowship-trained urologist specializing in male sexual health and prostate care. He offers compassionate, patient-focused care to help men maintain their health and quality of life.

 

Take the first step toward proactive prostate care by calling us today at (480) 961-2323 or scheduling a consultation using our appointment request form.

 

We look forward to serving you!

 

 

Sources:

https://my.clevelandclinic.org/health/diseases/8634-prostate-cancer

https://www.mayoclinic.org/diseases-conditions/prostate-cancer/symptoms-causes/syc-20353087

https://www.mayoclinic.org/diseases-conditions/prostate-cancer/diagnosis-treatment/drc-20353093

Filed Under: Prostate Cancer Tagged With: Erectile Dysfunction, hormone therapy, prostate cancer cells, prostate health, screenings, Sexual Health Issues, signs of prostate cancer in men, Treatment for Prostate Cancer in Men in Phoenix & Gilbert, Treatment Options for Prostate Cancer in Men, Urologist

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Dr. Avila focuses on all aspects of men's health, including vasectomy, vasectomy reversal, male infertility, low testosterone, erectile dysfunction, penile prosthetic surgery, Peyronie’s disease, prostate health, and robotic urological surgery.