What Are the Signs and Symptoms of Prostate Cancer?

This content has been reviewed and approved by

Daniel P. Petrylak, MD
Associate Professor of Medicine
Director, Genitourinary Oncology Program
Columbia University Medical Center

Unfortunately, prostate cancer does not often produce noticeable signs or symptoms in the early stage of the disease. The absence of symptoms is typically the reason why most prostate cancers already have begun to spread upon diagnosis. This makes annual screening important for men over 50, and earlier and more frequent screening for those with high-risk factors. 

The following are the most common symptoms of prostate cancer. However, each individual may experience symptoms differently. Symptoms may include: 

• Weak or interrupted urine flow 
• Frequent urination (especially at night) 
• Difficulty in urinating or holding back urine 
• Inability to urinate 
• Pain or burning during urination 
• Blood in urine or semen 
• Nagging pain in the back, hips, or pelvis 
• Difficulty in having an erection. 

Always consult your physician if you have any or some of these symptoms. 

The symptoms of prostate cancer may also occur with other conditions or medical problems such as benign prostatic hyperplasia (BPH). As men age, the prostate may grow bigger and obstruct the flow of urine, or interfere with sexual function. An enlarged prostate gland (benign prostatic hyperplasia) may require treatment with medicine or surgery to relieve symptoms. BPH is a common prostate condition. It is not cancer. However, BPH can cause many of the same symptoms as prostate cancer.