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Prostate Cancer and PSA

Prostate cancer can present in many different ways. Prostate cancer is now the commonest cancer in men affecting 1 in 8 men. However, often men with prostate cancer are asymptomatic and it is discovered following an opportunistic PSA (prostate specific antigen) blood test. Although PSA is useful test it needs to be interpreted with caution. The risk of developing prostate cancer increases with age. There is also an increased risk in black men and those with a family history of prostate cancer.

Symptoms

Prostate cancer is often asymptomatic. It can present with urinary symptoms. In some cases bony pain is the first symptom of prostate cancer. If you have concerns regarding prostate cancer then our team at South Coast Urology will listen to these and help you to navigate the best way forward.

Investigations

The usual initial investigations for prostate cancer include a PSA blood test and rectal examination which can be followed by a multiparametric MRI. This may then lead to a biopsy of the prostate, which can be done in a number of different ways. Other tests may then need to be done.

Treatments

If you are diagnosed with prostate cancer we will offer you support in identifying your most appropriate treatment option. Treatment for prostate cancer is not always required and we are focused on balancing the benefits of treatments against the potential for side effects. We carefully assess your health and circumstances along with a detailed analysis of your imaging and pathology. Once we know the risk of your disease we can work out the best way of treating your cancer. This can include: Active surveillance, Robotic Assisted Radical Prostatectomy, Radiotherapy, Focal Therapy or Systemic therapy.