Difference between symptoms of prostrate C. and just BPH.

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I can't find anywhere how symptoms really vary between BPH and prostate cancer. Can one have BPH's symptoms for couple of years and then notice new symptoms that would indicate one actually has prostate cancer. I'm just talking about symptoms excluding any PSA or DRE examinations. I'm just examining the symptoms.

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2 Replies

  • Posted

    Prostate Cancer may or may not produce symptoms . PSA , Gleason Scores,DRE, and or MRI diagnostics would be required to determine if Prostate Cancer is likely. Good Luck

  • Posted

    Hello John!!The problem for me and I think most is there’s no noticable difference. They call BPH benign not because they know the problem is non-cancerous but haven’t found out. It is possible there may be variances from other than DREs, PSAs, MRIs and biopsies but there is no attempt to collect relevant data.

    In 1990 they had high hopes ultrasounds would provide a definite answer to the BPH or PCa question. It was quickly dashed but in Australia the government held on to the belief, for budgetary purposes?? ultrasound-guided biopsy hits could be conclusive without MRI etc. direction right up to two years ago.

    The present situation here is it’s BPH till suspicion of something else leads to MRI. Biopsy and a Gleason score is then needed for any necessary PCa treatment. Family history is an important consideration along the way.

    Women with only a high family risk of Breast Cancer sometimes elect breast removal to likely remove the risk. I don't think many men would choose RARP without certain proof of PCa. There will eventually be some more accurate test to remove the risk of positive biopsy hits spreading the Cancer. If anyone bothered to collect the data of men experiencing urinary tract problems something else may surface.

    I supposedly had BPH from 1990 to 2015 and PCa for a few months. I didn’t feel or detect anything different. I may have had PCa all along or medication in 2013/14 may have caused a progression. Urinary problems didn’t change much from 1990 to 2015 but are a lot worse post Open RP. All the best what ever it is.Barrie

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