A leading cancer specialist has urged men over 40 not to dismiss subtle changes in urination as a normal part of ageing, warning they could be early signs of prostate cancer. Dr Jiri Kubes, radiation oncologist at the Proton Therapy Center in Prague, says symptoms such as needing to urinate more frequently, especially at night, or struggling to start urinating should prompt a visit to the GP.
Dr Kubes explains that an enlarging prostate can press on the urethra, causing a weak or interrupted stream and a feeling of incomplete bladder emptying. 'Men often ignore these signs, assuming they're just getting older, but obstruction from prostate changes can be an early indicator of something more serious,' he says.
Other red-flag symptoms include blood in urine or semen, which Dr Kubes stresses is never normal and warrants immediate medical attention. New erectile issues or discomfort during ejaculation may also arise, though embarrassment often delays help-seeking. Persistent lower back, hip or pelvic pain that doesn't improve with rest could indicate spread to the bones.
More general symptoms like fatigue and unintended weight loss may appear as the disease progresses. 'The key is that duration matters,' Dr Kubes adds. 'A symptom persisting for weeks rather than days should always be checked, even if it seems minor.'
Prostate Cancer UK notes the disease is the most common cancer in men, affecting around one in eight. The charity advises anyone with concerns to speak to their GP or call its Specialist Nurses on 0800 074 8383 for free, confidential support.
