Xoom
  • Home (current)
  • Covid-19 Advisory
  • About Us
    • Vision, Mission & Core Values
    • Medical Board
    • The Team
    • Our Authorised Partner Pharmacies
    • Our Awards
  • Our Services
    • For Pharmacy
    • For Corporates
    • Vaccination
    • COVID-19 HOME CARE PLAN
    • Diabetes Management
    • Virtual HIV/STD Clinic
  • MEDIA CENTRE
    • PRESS RELEASE
    • MEDIA KIT
    • NEWSROOM
  • Health Tips
  • ePharmacyNew!
    • Malaysia

Health Tips

  • Home
  • Health Tips
  • Movember series 1: Prostate cancer
  • Health Topics

    • All
    • COVID-19/ Vaccines
    • General health and wellness
    • Common ailments
    • Mental health
    • Sleep problems
    • Brain disorders
    • Respiratory diseases
    • Hypertension
    • Cholesterol
    • Heart diseases
    • Gastrointestinal
    • Diabetes
    • Autoimmune diseases
    • Kidney
    • Liver
    • Urinary
    • Skin
    • Sexual health
    • Women's health
    • Medications
    • Supplements
    • Other diseases
    • Pregnancy
    • Eyes
    • Bone's health
    • Breastfeeding
    • Medical device
    • Pain
    • Food
    • Fasting
    • Cancer
    • Children's health
    • Contraceptives
    • Men's health
    • Vaccinations
    • Oral health
    • Allergy

In conjunction with the Movember movement during November, we will be covering men’s health issues to raise awareness on men’s wellbeing. Today’s article is about prostate cancer, the second most common cancer in men, after skin cancer.⁵

What is a prostate and what does it do?

A prostate is a walnut-sized gland behind a man’s penis. It is a part of the male reproductive system. Prostate’s main function is production of an alkaline fluid that comprises 70% of seminal fluid. This fluid makes up semen, together with sperm cells and fluids from other glands. It provides lubrication and nutrition for sperm. Its alkaline nature also helps neutralise the acidic vaginal environment, making fertilisation more favourable.

How does prostate cancer happen? Who is at risk?

color illustration showing the prostate and surrounding area (including the location of the urethra, penis, scrotum, rectum, bladder and seminal vesicle)

  Normally, the growth and death of cells are regulated and kept in check. Prostate cancer begins when healthy cells change and grow out of control, due to mutation of cells. Usually, prostate cancer will not spread quickly to other parts of the body. Some grow very slowly and may not cause any symptoms for years. In fact, if effectively managed, men with prostate cancer can live long with good quality of life.

The risk factors of prostate cancer includes:

  1. Being a man (women do not have a prostate!)

  2. Age over 50 years

  3. Has family history of prostate cancer

  4. Genetic disposition

  5. Eating habits. Obesity is indirectly associated with many cancers, including prostate cancer. A healthy diet to avoid weight gain is recommended, to prevent prostate cancer

What are the symptoms likely to be experienced?

Early stages of prostate cancer are mainly asymptomatic. At an early stage, they are found during screening tests. Some are found incidentally, e.g in patients who undergo transurethral resection due to benign prostatic hyperplasia (BPH).

At later stages of cancer, patients may experience constitutional symptoms, including fatigue, loss of appetite and unexplained weight loss, even without change in lifestyle or diet.

One may also experience urinary symptoms, including:

  • Frequent urination (unable to hold urine)

  • Weak/ interrupted urine flow, or the need to strain to empty the bladder

  • Blood in urine

  • Blood in semen

  • New onset of erectile dysfunction

  • Discomfort or pain when sitting, caused by an enlarged prostate

Prostate Cancer: Early Signs, Symptoms, Causes & Risk

If the cancer is at advanced stage and spread to other parts of body, a man may experience:

  • Bone pain, in the back, hips, thighs, shoulders or other bone, due to spreading of cancer to bones

  • Swelling, accumulation of fluid in the legs, due to obstruction of lymph flow

The urinary symptoms above can also be experienced in BPH, a benign condition with enlargement of the prostate. So, do not panic if you have those symptoms, instead go and see a doctor to get your condition checked.

Screening and diagnosis of prostate cancer

Two tests are commonly done for screening of prostate cancer:

  • Digital rectal examination (DRE), in which the doctor inserts a gloved, lubricated finger into the man's anus, to feel the surface of the prostate through rectum, looking for any abnormalities.

  • Prostate specific antigen (PSA) blood test. Total PSA greater than 4ng/ml suggests malignancy. But it can be elevated in other conditions, e.g BPH, urinary tract infection, prostatitis (inflammation of prostate), trauma, manipulation of prostate gland (after a DRE). Also, normal levels of PSA do not exclude the diagnosis of cancer.

However, both tests are not specific and their results alone cannot make a definite diagnosis of prostate cancer. Diagnosis of prostate cancer requires additional confirmatory testing, like a biopsy (removal of a small amount of prostate tissue for examination under a microscope). Biopsy specimens are taken from several areas of the prostate, to ensure a good sample for microscopic examination. Most people will have 12 to 14 pieces of tissue removed, and the procedure can take 20 to 30 minutes to complete.

Management and outlook of prostate cancer

Management plan of prostate cancer depends on the patient's age, life expectancy, other medical conditions, patient’s preferences and the stage of the cancer. Some examples of management include:

  • Active surveillance (actively monitor for cancer symptoms through regular follow-ups, for early cancer)

  • Watchful waiting (for elderly men or those with life-threatening illness)

  • Local treatment, including surgery to remove the prostate gland (prostatectomy), radiation therapy 

  • Systemic treatment: Antiandrogen therapy, targeted therapy, chemotherapy, immunotherapy

  An important part of managing prostate cancer is monitoring its growth over time, to find out if it is growing slowly or quickly. Based on the pattern of growth, your doctor can decide the most suitable treatment option.

  The 5-year survival rate for most men with local or regional prostate cancer is nearly 100%. For men diagnosed with prostate cancer that has spread to other parts of the body, the 5-year survival rate is 31%.The 10-year survival rate for local, regional, and distant prostate cancer combined is 98%.²

 

Cover image credit: https://www.hopkinsmedicine.org/health/conditions-and-diseases/prostate-cancer/prostate-cancer-diagnosis

Image credit:

  1. https://www.cancer.org/cancer/prostate-cancer/about/what-is-prostate-cancer.html
  2. https://www.medicinenet.com/prostate_cancer/symptoms

Sources:

  1. Movember. Prostate cancer. Available on: https://ex.movember.com/about/prostate-cancer

  2. Cancer.net. Prostate cancer. Available on: https://www.cancer.net/cancer-types/prostate-cancer

  3. Amboss knowledge. Prostate cancer. Available on: https://www.amboss.com/us/knowledge/Prostate_cancer

  4. Medscape. Function of prostate gland. Available on: https://www.medscape.com/answers/437359-90388/what-is-the-main-function-of-the-prostate-gland

  5. Cancer.org. Cancer facts for men. Available on: https://www.cancer.org/healthy/find-cancer-early/mens-health/cancer-facts-for-men.html

Tags :

  • Movember |
  • Prostate cancer |
  • prostate cancer awareness |
  • men's health

Share :

Written By

Chen Wen Hao

Reviewed By

Doc2us Medical Board

More Top Reads

Does Size Matter?

Does Size Matter?  The...

Jul 04, 2023

Is a foamy urine normal?

Most Malaysians love a cup of ...

Feb 18, 2022

ADAKAH KITA BOLEH HAMIL KETIKA MENGAMBIL PIL PERANCANG?

ADAKAH KITA BOLEH HAMIL KETIKA...

Dec 20, 2021

Understand the rove beetles 'bite'

Image credit: Alvesgaspar,...

Mar 17, 2021

Help! How Can I Tell between a Positive Pregnancy Test or an Evaporation Line?

Whether a pregnancy test t...

Oct 08, 2019

8 WHYS YOUR TODDLER BLINKING HARD (COMPLETE LIST)

A toddler blinking hard or fas...

Jan 08, 2019

Recommended For You

10 FACTS ABOUT PERIOD

Have you ever been asked i...

May 09, 2021

[Podcast] Why am I struggling to pee properly?

Dec 27, 2020

WHAT IS PSA?

Today's post is a continuation...

Nov 05, 2018

Latest Article

BPH and it's progression: What should we know

BPH and its progression: what ...

Jan 16, 2025

More Than Just Hay Fever: Delving into the Complications of Untreated Allergic Rhinitis

More Than Just Hay Fever: Delv...

Jul 23, 2024

Decoding urticaria and allergic rhinitis: all you need to know!

Decoding urticaria and allergi...

May 15, 2024

BPH and Prostate Cancer Deconstructed: Essential Knowledge for HCPs

BPH and Prostate Cancer Decons...

Mar 12, 2024

From Sniffles to Smiles: Treating Allergic Rhinitis

From Sniffles to Smiles: Treat...

Mar 05, 2024

Exercises recommended for pregnant women

Exercises recommended for preg...

Dec 19, 2023
The content found on this webpage serves as medical education resources designed for healthcare professional in Malaysia.

Introducing DOC2US, Your Trusted Online Doctor. With its name synonymous to “talk to us”, DOC2US is a mobile application that allows you to talk to a doctor or any healthcare professionals via text chat at any time and from anywhere.

USEFUL LINKS

  • Home
  • About Us
  • For Pharmacy
  • Health Tips
  • Feedback
  • Fun Facts
  • Contact Us
  • FAQ
  • Privacy Policy
  • Terms
  • Telemedicine Policy
  • Medicine e-Prescription SOP

SITEMAP

Copyright © 2025 HEYDOC INTERNATIONAL SDN. BHD. (1141230-T) - ALL RIGHTS RESERVED  |   Powered by etc web design