CancerCare Manitoba
Symptoms and Staging


Symptoms of Prostate Cancer

In its early stages, prostate cancer does not produce symptoms.

As it enlarges, it compresses the urethra interfering with normal urination and may produce symptoms which include the following:
  • Frequent urination
  • Weak urinary stream
  • Incontinence (loss of urinary control)
  • Painful urination
  • Blood in urine

Cancer that has spread to bone, then pain may occur, most commonly in the back and hips.

Prostate Cancer by Stage

Staging determines the extent of prostate cancer and include the three following stages.
  • Localized prostate cancer means that the cancer is confined to the prostate.
  • Locally advanced prostate cancer means that most of the cancer is confined within the prostate, but some has started to escape to the immediate surrounding tissues.
  • In metastatic disease, the prostate cancer is growing outside the prostate and its immediate area, possibly to more distant organs.

A number of tests can be used to determine the stage of disease. Locally advanced prostate cancer is most frequently detected through traditional imaging studies, such as CT scans and x-rays, or through bone scans.

Cancers that spread to more distant organs tend to travel through the lymphatic system.

Knowing the stage of disease can help to determine how aggressively the disease needs to be treated, and how likely it is to be eradicated by the available treatment options.