Prostate Cancer Signs & Symptoms

Recognizing the signs of prostate cancer early provides the best chance for full recovery. Prostate cancer that has not metastasized (spread) is easier to treat and may require fewer or less invasive interventions.

See your doctor if you experience any new, persistent or unexplained symptoms such as:

• Inability to pass urine
• Difficulty starting or stopping urine flow
• Needing to urinate often, especially at night
• Weak urine flow
• Urine flow that starts and stops
• Pain or burning during urination
• Difficulty having an erection
• Blood in urine or semen
• Lower back, hip or upper thigh pain
• Erectile dysfunction

General symptoms of prostate cancer may include trouble starting or stopping urination. It can also include weak or interrupted urine flow, as well as painful and frequent urination — particularly at night.

These symptoms can overlap with other non-cancerous conditions like benign prostatic hyperplasia (BPH), which is also known as an enlarged prostate.

Early-Stage Symptoms of Prostate Cancer

Early-stage prostate cancer is also known as localized prostate cancer. The cancer is localized within the prostate gland and has not yet metastasized (spread) to nearby tissues or other parts of the body.

Early symptoms may include subtle changes in urination frequency or flow, mild erectile dysfunction, or slight pelvic discomfort or pressure. Prostate cancer can be asymptomatic (without symptoms) for some men.

Late-Stage Symptoms of Prostate Cancer

Late-stage prostate cancer is also known as advanced or metastatic prostate cancer. The cancer has spread beyond the prostate gland into tissues or other parts of the body. 

Symptoms may become more noticeable as prostate cancer progresses. Some symptoms include bone pain — particularly in the hips or back — blood in the urine or semen, weakness in the legs, and weight loss. More severe symptoms often occur once the cancer spreads outside the prostate gland.

Any of these symptoms can be caused by something other than cancer. The only way to know what is causing a particular symptom is to see your physician.

Monitor Your Symptoms at Home

It is important to stay vigilant about any ongoing, recurring or worsening symptoms. Consulting your physician when symptoms begin or worsen can lead to an earlier diagnosis and better outcomes.

You know your body best. Keep a record of your symptoms, how often they occur and if they are getting better or worse over time. If something feels “off” or is a change from your normal experience, schedule an appointment  with your health care provider as soon as possible.