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.

Professor, Doctor of Medical Sciences
Head of Urology Clinic
Professor, Doctor of Medical Sciences
Head of Urology Clinic