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 Home ] [ Prostate Cancer Symptoms ] Prostate Cancer Traditional Treatments ]

Prostate Cancer : Symptoms and Diagnosis

Prostate cancer is the most common type of cancer in men in the United States (other than skin cancer).  Like any cancer, prostate cancer involves the abnormal and uncontrolled growth of cells.

Benign porstatic hyperplasia (BPH)  is a condition affecting the prostate that also involves abnormal cell growth, but this condition is not cancerous for this reason: the cells do not invade nearby tissues or spread to other parts of the body (metastasis).  So, just because one has an enlarged prostate does not mean  cancer.  In fact BPH affects half the men between 60 and 70 and perhaps 90 percent of men between the ages of 70 and 90.  Symptoms include difficulty in urination, and incomplete emptying of the bladder.  When severe enough, surgery is performed to “open up” the lumen in the prostate so that urine flows freely. 

What is the prostate gland?  The prostate gland is a male sex gland, about the size of a walnut.  It produces part of the fluid that forms semen.  The urethra (the tube running from the kidney to the opening of the penis) passes through the prostate gland. 

Symptoms of bladder cancer are similar to BPH, and are listed by the National Cancer Institute as the following. Keep in mind that the following does not indicate a diagnosis of cancer.  It indicates the need for further tests. 

·        A need to urinate frequently, especially at night;

·        Difficulty starting urination or holding back urine;

·        Inability to urinate;

·        Weak or interrupted flow of urine;

·        Painful ejaculation

·        Blood in urine or semen; and/or

·        Frequent pain or stiffness in the lower back, hips, or upper thighs.

When a patient presents with the above symptoms, the urologist (a doctor who specializes in the urinary tract, and the reproductive organs) will perform other tests, including digital rectal exam, urine tests, and blood tests including PSA (prostate-specific anigen) and PAP (prostatic acid phosphatase).  If these tests are suspicious, the doctor may then order further tests such as ultrasound and cystoscopy (inserting a scope into the urethra which allows a doctor to visually inspect the urethra and bladder).    Finally, if warranted, the doctor may perform a biopsy (a tissue sample of the prostate gland).  It is usually the biopsy report that is used to make a definitive diagnosis of cancer.  The important thing to keep in mind is that many of the symptoms of prostate cancer may be less serious diseases.  However, it is vital to be examined if symptoms are present.  As with any cancer, an early diagnosis has direct and significant effect on chances of survival. 

Current research indicates that there may be a familial predisposition for cancer, but further research is needed.  Prostate cancer IS NOT contagious.  Diet, especially a diet high in saturated fat does appear to predispose to prostate cancer.  As with most cancers, diets high in a wide variety of fruits and vegetables and low in saturated fats help in prevention. 

Numerous studies have looked at the herbal product Saw Palmetto as a possible preventative supplement.  This research is promising and continues.  The respected Pharmacist’s Letter Natural Medicines Comprehensive Database has this to say about Saw Palmetto.

LIKELY EFFECTIVE ...when used orally for reducing the symptoms of benign prostatic hyperplasia (BPH) (2,4,7,2732,5094). Multiple clinical studies lasting up to 48 weeks have shown that saw palmetto significantly reduces urinary tract symptoms such as nocturia, peak and mean urine flow, and residual urine volume in patients with BPH (2732). Two studies indicate that saw palmetto is possibly comparable to finasteride (Proscar) in efficacy; however, saw palmetto might be better-tolerated (2732,6424). Improvement can take up to 2 months of treatment (2732). Clinical studies have used a liposterolic extract of saw palmetto berry containing 80-90% fatty acids.

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"Alternative Cancer Treatments"  Michael Guthrie, R.Ph.  CGP 2003-2006
Updated May 7, 2006