Symptoms

There are no typical symptoms indicating in the early stages a malignant tumor of the prostate. Initially, patients do not notice anything. Complaints appear mainly when the tumor becomes so large that it affects the urethra, passing through the prostate a little further, or daughter tumors (metastases) form outside the prostate, for example, in the lymph nodes and bones.

The following symptoms may occur:

• Increased urge to urinate, especially at night
• Difficulty starting to urinate
• Inability to urinate (urinary retention)
• Weak or intermittent jet
• painful ejaculation
• Blood in urine or semen
• Pain in the prostate
• Severe pain in the lower back (sacrum), pelvis, hips, thighs (sciatica pain)
• Decreased erection strength or impotence.
• Decreased amount of seminal fluid

Often the same symptoms are signs of benign prostate enlargement. But in about 10% cases, prostate cancer is behind them. Treatment of prostate cancer in Germany, detected at an early stage of development, is the most effective.