How is prostate cancer typically treated

Prostate Cancer Symptoms

There are no typical symptoms that indicate a malignant prostate tumor at an early stage. At first, the person concerned does not notice anything. Symptoms usually only occur when the tumor has grown so large that it spreads to the urethra or when daughter tumors (metastases) have formed outside the prostate, typically in the bone.
The following symptoms can occur:

  • increased need to urinate, especially at night
  • Difficulty starting to urinate
  • Inability to urinate (urinary retention)
  • poor or interrupted urine flow
  • Painful ejaculation
  • Blood in the urine or semen
  • Pain in the prostate
  • severe pain in the lower back (lower back), pelvis, hips or thighs (sciatic pain)
  • less strong erection or impotence
  • decreased ejaculation

Even if most of these are symptoms of benign prostate enlargement: In any case, consult your doctor if you notice one or more of these symptoms.

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[1] Prostate cancer guidelines of the European Association of Urology, status 2014,
[2] S3 quality interdisciplinary guideline for early detection, diagnosis and therapy of the various stages of prostate cancer, long version. Online at
[3] H.-J. Pout. K. Höffken, K. Possinger (Eds.): Compendium Internal Oncology, Springer Verlag 2006


Expert advice
Prof. Dr. Kurt Miller
Clinic for Urology, Charité - University Medicine Berlin

Prof. Dr. Jürgen Gschwend
Universitätsklinikum rechts der Isar, Munich


Last content update on: 09.01.2018

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