An oncologist is urging families to ask their fathers four specific but difficult questions this Father's Day that could lead to early prostate cancer diagnoses. Prostate cancer is the most common cancer among men in the UK, with Jeremy Clarkson recently opening up about his own diagnosis. However, there is no national screening programme for the disease.
The Challenge of Men's Health Conversations
Men are often less likely to speak about symptoms or visit their GP when feeling fine. Dr Jiri Kubes, medical director of the Proton Therapy Center in Prague, revealed four questions that could open crucial conversations and prompt men to get checked. He said: “We know that men are often more reluctant to talk about their health. Sometimes this can lead to people burying their head in the sand and ignoring little niggles until they become a serious problem.”
Question 1: Is There a History of Prostate Cancer in the Family?
Having a close relative with prostate cancer increases the risk of developing the disease. This includes a father, brother, grandfather, or uncle, according to Cancer Research UK. Dr Kubes added: “Knowing your risk is really important as often prostate cancer comes without any symptoms in the early stages. If you have a family history or are worried about prostate cancer then you can speak to your GP about a PSA test which can measure the level of prostate specific antigen in the blood. The test is not perfect but it can detect abnormalities which is important in early detection.”
Question 2: Have You Noticed Any Changes When You Pee?
Early-stage prostate cancer often has no symptoms, but the first signs usually affect urination. Dr Kubes said: “If you’re finding you need to wee more frequently, or you’re getting up often during the night, you need to investigate the cause. You may also notice a hesitancy when you try to pee, or straining and taking a lot of time, as well as a weak flow. For some it feels like their bladder hasn't been fully emptied. These symptoms do not mean you definitely have cancer, but they should be mentioned to a GP who can discuss your risk and assess whether you should have further tests.”
Question 3: Have You Noticed Blood in Your Urine?
The expert urged: “If you notice blood in your urine even once, don’t wait for it to happen again. Once is enough to make an appointment with your GP. It could be nothing, but if it is something then a timely diagnosis can save your life.”
Question 4: When Was the Last Time You Saw Your GP?
Recent ONS data showed barely a third of men tried to contact their GP practice in the last 28 days, for issues regarding themselves and others. Dr Kubes said: “We know talking about personal health issues can be difficult for many men, but it is so important. We also know men can sometimes put off seeing their doctor. Having open conversations and asking these questions can give a gentle nudge in the right direction if it’s needed.”
