*           The Prostate gland is part of the male reproductive system

*           The gland provides the seminal fluid and is positioned just below the bladder

*           Prostate Cancer is the second largest killer of men

*           1 in 3 men will get Prostate Cancer before he dies

*           10,000 men a year die of this in the UK alone

What are the Symptoms?

*           A Weak and sometimes intermittent flow of urine

*           Difficulty in starting urination

*           Frequent urination

*           Difficulty in postponing urination

*           Having to get up at night to urinate

*           A feeling that the bladder is not completely empty after urinating

Late Symptoms

*           Blood in the urine

*           Pain around the prostate or in the pelvis lower back and hips

Why is Prostate Cancer the Second Most Serious Cancer in Men (only lung cancer causes a greater number of deaths)

*           Symptoms are easily missed

*           Symptoms don’t necessarily occur in the early stages

*           Men are not made aware until it’s too late

*           Most men who die of prostate cancer have secondary growths in other parts of the body

*           No Annual Screening Programme available on the

Can Prostate Cancer be detected before symptoms exist

*           Yes with a PSA blood test and diagnostic procedures

*           PSA stands for Prostate Specific Antigen

*           The level of PSA will detect the level of the problem

*           The level will get higher as you get older

*           NHS consider less than 4ng/ml of blood to be OK

*           More than 4ng/ml of blood indicates problems

*           A sudden rise in YEARLY readings indicates a problem

The Three Prostate Problems

*           PROSTATITIS

*           BPH - BENIGN PROSTATIC HYPERPLASIA

*           PROSTATE CANCER

Further Diagnostic Tests

*           BIOPSY

*           URINE TEST

*           DIGITAL RECTALEXAMINATION

*           IMAGING TECHNIQUES

Treatment

Prostate cancer may be localised –only affecting the prostate - or it may be locally advanced or advanced – the cancer has moved outside the prostate.

If your doctors believe the cancer just affects the gland, they will discuss different kinds of treatment with you. These could be

*           Active Monitoring (sometimes called watchful waiting) – where the state of the cancer is closely observed and treatment started only when, or if, necessary.

*           External Beam Radiotherapy – where radiation is used to kill cancer cells;

*           Surgery – where the prostate is removed;

*           Brachytherapy – where radioactive seeds are implanted into the prostate;

There are also rarer forms of treatment, which are less commonly available, but may become more so in future:

*           Cryotherapy - freezing the prostate

*           Hormone Therapy - If the cancer is locally advanced or advanced, you may be offered hormone therapy, either on it's own or with another treatment.

NHS Current Policy

*           Men over 50 can now request a PSA test

*           You should be given an awareness leaflet to read first

*           The test will be a ‘snap shot’ look at one year only

World Wide Statistics

Survival rate more than 5 years after diagnosis

*           JAPAN 97%

*           USA 70%

*           ENGLAND 45%

*           FRANCE 65%

*           GERMANY 70%