{"id":4933,"date":"2026-05-25T11:05:00","date_gmt":"2026-05-25T10:05:00","guid":{"rendered":"https:\/\/www.dumonceau-urologie.fr\/urology\/prostate-cancer-what-are-the-signs-to-watch-out-for\/"},"modified":"2026-09-06T22:36:41","modified_gmt":"2026-09-06T21:36:41","slug":"prostate-cancer-what-are-the-signs-to-watch-out-for","status":"publish","type":"post","link":"https:\/\/www.dumonceau-urologie.fr\/en\/urology\/prostate-cancer-what-are-the-signs-to-watch-out-for\/","title":{"rendered":"Prostate cancer: what are the signs to watch out for?"},"content":{"rendered":"<p><img decoding=\"async\" width=\"100%\" src=\"https:\/\/www.dumonceau-urologie.fr\/wp-content\/uploads\/2026\/04\/cancer-de-la-prostate-quels-sont-les-signes-a-surveiller-vtb-69e238291cf2a.jpg\" alt=\"Video thumbnail for &#39;Prostate cancer: what are the signs to watch for?&#39;\" style=\"max-width: 100%;height: auto\"><\/p>\n<p> The question comes up very often among men over <a href=\"https:\/\/www.urofrance.org\/wp-content\/uploads\/2021\/12\/PM-AFU-pdf_interactif-mobile_cancer-prostate-V3.pdf\" target=\"_blank\" rel=\"noopener\">50<\/a> : <strong>are there any warning signs of prostate cancer<\/strong> ? Should one worry at the slightest urinary problem?<\/p>\n<p> The answer, very clearly, is this: <strong>in the vast majority of cases, no<\/strong> .<\/p>\n<p> This is an essential point to understand, because it avoids a lot of unnecessary anxiety and above all allows us to focus on what really matters: <strong>regular <a href=\"https:\/\/www.cancer.fr\/professionnels-de-sante\/prevention-et-depistages\/depistage-et-detection-precoce\/depistage-du-cancer-de-la-prostate\" target=\"_blank\" rel=\"noopener\">screening<\/a><\/strong> .<\/p>\n<h2> Urinary problems are almost never a sign of prostate cancer<\/h2>\n<p> When a man starts urinating more frequently, with more difficulty, or experiences more urgent urges, he often immediately thinks of cancer. In practice, these symptoms are <strong>most often linked to benign prostatic <a href=\"https:\/\/www.ameli.fr\/assure\/sante\/themes\/adenome-prostate\/definition-adenome-prostate\" target=\"_blank\" rel=\"noopener\">hyperplasia<\/a> (BPH)<\/strong> , also known as benign prostatic hypertrophy.<\/p>\n<p> The most common signs are well known:<\/p>\n<ul>\n<li> need to urinate more frequently,<\/li>\n<li> urgent needs,<\/li>\n<li> difficulty starting urination<\/li>\n<li> weaker urinary stream<\/li>\n<li> feeling of not emptying one&#39;s bladder as well.<\/li>\n<\/ul>\n<p> These symptoms are typical of <strong>benign prostatic hyperplasia (BPH<\/strong> ). They are <strong>not<\/strong> , as a rule, signs of prostate cancer.<\/p>\n<p> In other words, a man who experiences urinary difficulties should not immediately conclude that he has cancer. That would be a very common mistake.<\/p>\n<h2> When symptoms appear, they are often in advanced stages.<\/h2>\n<p> The problem with <strong>prostate cancer<\/strong> is precisely that it is often silent in its early stages. Localized, early-stage cancer usually does not cause <strong>any specific symptoms<\/strong> .<\/p>\n<p> If clinical signs do appear due to the cancer itself, this most often corresponds to <strong>very advanced<\/strong> forms, sometimes even <strong>metastatic<\/strong> .<\/p>\n<p> This is a crucial point: <strong>the absence of symptoms does not mean the absence of cancer<\/strong> , and conversely, the presence of urinary problems does not mean that there is cancer.<\/p>\n<p> Today, with regular medical monitoring, prostate cancer should no longer be discovered at such an advanced stage that it already causes significant urinary difficulties.<\/p>\n<h2> Why severe cases have become much rarer<\/h2>\n<p> Just a few decades ago, late diagnoses were much more common. Dramatic situations could arise, with cancers only being revealed by major complications.<\/p>\n<p> A striking example is that of bone metastases in the spine. In very advanced stages, prostate cancer can lead to vertebral compression fractures and, in extreme cases, paraplegia.<\/p>\n<p> Today, this type of discovery should practically never occur during routine monitoring. And that&#39;s excellent news. It shows how much <strong>early detection<\/strong> has changed patient care.<\/p>\n<h2> The real challenge: early detection, before symptoms appear<\/h2>\n<p> Prostate cancer screening does not prevent cancer from developing. This needs to be clear. <strong>Screening does not prevent the onset of cancer<\/strong> .<\/p>\n<p> On the other hand, it allows something fundamental: <strong>detecting a possible cancer in its early stages<\/strong> , before it becomes advanced, symptomatic or metastatic.<\/p>\n<p> This is the whole logic behind annual monitoring for men from the age of 50. When cancer is regularly monitored, it has a much greater chance of being discovered at an early stage, when it is not yet showing any signs.<\/p>\n<p> This monitoring is traditionally based on:<\/p>\n<ul>\n<li> <strong>a rectal examination<\/strong> ,<\/li>\n<li> <strong>a PSA test<\/strong> ,<\/li>\n<li> and more generally <strong>, regular consultations<\/strong> .<\/li>\n<\/ul>\n<h2> What is the purpose of the PSA?<\/h2>\n<p> <strong><a href=\"https:\/\/www.ligue-cancer.net\/nos-missions\/le-depistage-du-cancer\/cancer-de-la-prostate-et-detection-precoce\" target=\"_blank\" rel=\"noopener\">PSA testing<\/a><\/strong> is one of the key screening tools. Its value lies precisely in detecting abnormalities even when no symptoms are present.<\/p>\n<p> A high PSA level does not automatically mean that cancer is present, but it can raise awareness and lead to further investigations. It is therefore a useful warning sign within the framework of structured monitoring.<\/p>\n<p> The idea is not to be alarmed by a single value, but to interpret it within a context: age, clinical examination, evolution over time, prostatic context.<\/p>\n<h2> At what age should screening be considered?<\/h2>\n<p> The message is simple: <strong>from the age of 50<\/strong> , it is reasonable to talk about prostate cancer screening with your doctor and to consider <strong>annual follow-up<\/strong> .<\/p>\n<p> This regularity is important. A check-up done once and then forgotten for several years loses much of its value. What protects against late-stage disease is not a single examination, but the continuity of follow-up.<\/p>\n<h2> When should we really be worried?<\/h2>\n<p> Rather than worrying about common urinary symptoms, remember this:<\/p>\n<ul>\n<li> Urinary problems in men over 50 years of age initially suggest a <strong>prostate adenoma<\/strong> .<\/li>\n<li> Early-stage prostate cancer is often <strong>asymptomatic<\/strong> .<\/li>\n<li> Signs related to cancer appear mainly in <strong>advanced<\/strong> stages.<\/li>\n<li> The best way to avoid these advanced forms remains <strong>regular screening<\/strong> .<\/li>\n<\/ul>\n<p> In practice, the right approach is neither panic nor denial. It is simple, regular, and age-appropriate medical monitoring.<\/p>\n<h2> The key takeaway<\/h2>\n<p> If you are over 50 and have urinary problems, the most likely diagnosis is not prostate cancer, but a benign prostatic hyperplasia (BPH).<\/p>\n<p> Even if you have no symptoms, that doesn&#39;t mean you shouldn&#39;t get tested. That&#39;s precisely the point of screening: <strong>to detect early what hasn&#39;t yet manifested itself<\/strong> .<\/p>\n<p> The right approach, therefore, is not to look for early warning signs at all costs. The right approach is to implement <strong>annual screening<\/strong> with a <a href=\"https:\/\/www.has-sante.fr\/upload\/docs\/application\/pdf\/2013-07\/referentieleps_format2clic_kc_prostate_vfinale.pdf\" target=\"_blank\" rel=\"noopener\">digital rectal exam<\/a> and PSA test, in order to detect any potential cancer at an early stage, when it is still silent.<\/p>\n<p> When it comes to the prostate, waiting for symptoms is not a strategy. <strong>Prevention is.<\/strong><\/p>\n<\/p>\n<div style=\"text-align:center\"> <iframe title=\"Cancer de la prostate : quels sont les signes \u00e0 surveiller ?\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/VVv75ItkXUs?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The question comes up very often among men over 50 : are there any warning signs of prostate cancer ? Should one [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":4645,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[42],"tags":[],"class_list":["post-4933","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-urology"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/posts\/4933","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/comments?post=4933"}],"version-history":[{"count":0,"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/posts\/4933\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/media\/4645"}],"wp:attachment":[{"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/media?parent=4933"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/categories?post=4933"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/tags?post=4933"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}