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Prostate Cancer – What You Need to Know in 2025

If you or a loved one heard the term “prostate cancer,” you probably wonder how serious it is and what steps to take. The short answer: most men diagnosed early can live normal lives, but catching it fast makes all the difference. Below we break down the basics—symptoms, tests, and current treatment choices—so you can act with confidence.

Spotting the Warning Signs

The prostate sits just below the bladder, so early tumors often cause no pain. That’s why many men notice trouble only when symptoms appear: frequent nighttime trips to the bathroom, weak stream, or a feeling of incomplete emptying. Blood in urine or semen is less common but should never be ignored. If you have any of these signs, especially after age 50, schedule a check‑up right away.

How Doctors Confirm It

The first tool doctors use is the PSA (prostate‑specific antigen) blood test. A rising PSA can flag something unusual, but it isn’t definitive on its own. If the number is high, the next step is a digital rectal exam (DRE) and usually an ultrasound‑guided biopsy. Modern imaging—like multiparametric MRI—helps pinpoint where cancer lives, making treatment planning more precise.

Once the diagnosis is clear, doctors discuss options based on how aggressive the tumor looks, your age, overall health, and personal preferences. For low‑risk cases, active surveillance (regular PSA checks and imaging) can delay or avoid treatment altogether. When intervention is needed, there are several routes:

  • Surgery: Robotic prostatectomy removes the gland while sparing nerves when possible.
  • Radiation: External beam or brachytherapy delivers targeted energy to kill cancer cells.
  • Hormone therapy: Drugs lower testosterone, slowing tumor growth. Medications like leuprolide or newer oral agents are common.
  • Chemo and Immunotherapy: Reserved for advanced disease, drugs such as docetaxel or immunotherapies can extend survival.

If you’re dealing with urinary symptoms caused by an enlarged prostate (BPH) alongside cancer, medications like tamsulosin are often used. Our recent article on “6 Alternatives in 2025 to Doxazosin” shows other alpha‑blockers and combination therapies that can help manage BPH without worsening cancer risk.

Side effects matter, too. Radiation may irritate the bladder or cause bowel changes; surgery can affect sexual function. Talking openly with your urologist about what matters most—continence, potency, recovery time—helps you choose a plan that fits your life.

Beyond medical treatment, lifestyle tweaks support overall prostate health. Regular exercise, a diet rich in fruits, vegetables, and healthy fats, and limiting red meat may lower progression risk. Some men find that adding supplements like omega‑3s or saw‑palmetto eases urinary issues, but always check with your doctor first.

Bottom line: early detection, clear communication with your care team, and a personalized treatment strategy give the best shot at beating prostate cancer. Keep an eye on PSA levels, stay active, and don’t hesitate to ask questions—your health is worth it.

Bicalutamide and Urinary Issues: How to Manage Incontinence, Urgency, and Retention
Medicines and Treatments

Bicalutamide and Urinary Issues: How to Manage Incontinence, Urgency, and Retention

August 24, 2025 by Maxwell Harrington

Practical, evidence-backed tips to manage urinary incontinence, urgency, nocturia, and retention while on bicalutamide. What to expect, what to try, and when to call your doctor.

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