Common Warning Signs of Prostate Cancer
Prostate cancer does not always cause obvious symptoms, particularly in the early stages. However, there are several warning signs that may indicate a problem with the prostate gland and should not be ignored.
These symptoms can be subtle and are often mistaken for benign conditions such as benign prostatic hyperplasia (BPH), especially as men get older. Being aware of what to look for is important, particularly for men over 50 or those with a higher risk of prostate cancer.
The 5 Warning Signs of Prostate Cancer
While symptoms can vary, the following are five of the most common signs of prostate cancer to be aware of.
1. Changes in Urination
Urinary symptoms are often the first noticeable change.
These may include:
- Increased frequency, particularly at night
- Difficulty starting urination
- Weak or interrupted flow
- Feeling that the bladder is not fully empty
These symptoms are commonly caused by benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate gland. However, they can also be associated with prostate cancer and should always be assessed.
2. Blood in Urine or Semen
The presence of blood in urine or semen can be alarming and should never be ignored.
While it may be linked to infection or other non-cancerous conditions, it can also be a sign that cancerous cells are affecting the prostate or surrounding structures.
Prompt medical evaluation is essential.
3. Erectile Dysfunction
Erectile dysfunction can sometimes be linked to prostate conditions.
Although it is more commonly associated with cardiovascular health or psychological factors, it may also be a symptom of prostate cancer, particularly if it develops alongside other urinary symptoms.
4. Pain or Burning Sensation When Urinating
A burning sensation or discomfort when passing urine may indicate inflammation or infection. However, in some cases, it can also be linked to prostate issues, including cancer.
Persistent pain or discomfort should be investigated to rule out underlying conditions.
5. Bone Pain or Persistent Pelvic Discomfort
Bone pain is more commonly associated with advanced prostate cancer.
If cancer spreads beyond the prostate gland, it may affect the bones, particularly in the back, hips or pelvis. This can lead to ongoing discomfort or pain that does not resolve.
This symptom should always be assessed urgently.
Why Risk Factors Matter
While these warning signs can affect any man, some individuals have a higher risk of prostate cancer and should be particularly aware of changes.
Risk increases in:
- Men over the age of 50
- Those with a family history of prostate cancer
- Men with a history of prostate cancer in close relatives
- Black men, who are statistically at higher risk
For men in these groups, even mild or early symptoms should not be ignored. In some cases, prostate cancer screening using a PSA blood test may be considered, even before symptoms develop.
What Happens If You Notice These Symptoms?
If you experience any of these warning signs, a clinical assessment may be recommended to identify the cause.
This usually begins with a discussion of your symptoms, medical history and any risk factors. From there, initial tests may include a PSA blood test to assess prostate specific antigen levels and, where appropriate, a digital rectal exam to examine the prostate gland.
If there are any concerns, further investigations such as imaging or biopsy may be advised.
Why Early Action Is Important
Although prostate cancer may not cause obvious symptoms in its early stages, identifying potential signs early allows for timely investigation and, where necessary, treatment.
Men over 50 or those with a higher risk of prostate cancer should be particularly mindful of even subtle changes and seek advice without delay.
How Dr Edward Calleja Can Help
Dr Edward Calleja is a Sussex-based Consultant Urologist specialising in the diagnosis and management of prostate conditions, including prostate cancer.
If you are experiencing any of the warning signs discussed, he offers expert assessment to help identify the cause and guide the next steps.
This may include:
- PSA blood testing and interpretation
- Digital rectal examination
- Further investigation where appropriate
- Clear, personalised advice based on your symptoms and risk factors
Consultations are available both in person and online for patients across Sussex and the UK.
To arrange an appointment, use the online booking system or contact Dr Calleja’s secretary on 01424 757 458.

.jpg)