Prostate cancer: Mar 14

Publish date: 11/04/2014

Tags: Cancer

Anonymous303 asked:

Hi Denise,

I'm a 51 year old male who as far as I'm aware, is fit and healthy for my age other than a heriditary hypertension issue that has been under control via a small daily dose of Atenolol since I was aged 29.

My father who is 80 later this year has been under treatment for prostate cancer for many years now but is doing quite well. Consequently, I've been checked but show no signs of concern especially as I'm more like my mother's side of the family who have no similar history.

Unfortunately, my father is the kind of character who will rush off to the doctor at the slightest thing. I know he has his PSA regularly monitored and it was these results that originally highlighted the concerns. Howeveer, it does concern me from reading the information provided that he may have gone through radiotherapy and hormone treatment perhaps unnecesarilly. I guess they took readings over a period of time before deciding on treatment but I don't recall him saying anything about any tests other than PSA results on which that decision would have been based. I would be interested to hear any view you may have please?

Denise Dallender commented:


I'm glad to hear your father is doing well and your own health checks have shown nothing to be concerned about.

It's very difficult to provide an answer to your question that may be helpful from a clinical point of view. There are various modes of treatment for prostate cancer depending on the type and the stage of the cancer. The decision regarding treatment would have been made between the specialist and your father based on the outcome of a number of test such as PSA.

I would advise that you discuss this with your father, if you think it appropriate, and if possible attend an apppointment with him and his specialist to discuss your concerns if, again ,you think that is appropriate. 

I hope you both continue to do well.



AXA PPP healthcare asked:

We've had a question from Twitter:

Whats the best way to check for symptoms of prostate cancer at home? Should I look for lumps?

Denise Dallender commented:


Symptoms often relate to the enlargement of the prostate (which won't show up as a lump on external examination) and and they include the following:

Needing to urinate urgently

Difficulty in urinating (if the flow stops, starts or you have to strain to urinate)

Urinating frequently (particularly at night)

Feeling you can't fully empty your bladder

Pain when urinating (rare)

Blood in the urine or semen (rare)

Also, should you experience any of the following: severe weight loss, low back pain, bone pain, blood in your urine and/or erectile dysfunction (when you've had no previous problems), you will need to see your GP to find out the cause.

Some of the symptoms of prostate cancer can be caused by benign conditions, so there may be nothing to worry about. Currently there are no set screening programmes in the UK for prostate cancer, therefore, should you have any concerns please contact your GP.

Anonymous215 asked:


If you missed our live chat and have any further questions relating to prostate cancer, then why not ask our panel of experts a question?

Hi Denise. I was wondering, are there certain foods / dietary choices that can lessen your chance of having prostate cancer?

Denise Dallender commented:


There are no strongly recommended dietary choices that are know to lessen your chance of having prostate cancer. You will find many supplements advertised on the internet, but there is no robust evidence as yet to support their use.

As with any medical condition and in particular cancer, your best choices are to keep yourself healthy. A diet rich in vegetables and fruit, also low in saturated fats is your best way forward. Keeping your weight within acceptable limits and taking exercise is also recommended.

Above all, reduce stress and enjoy life!

Anonymous308 asked:

Both my parents died from cancer about 20 years ago. Last year my brother died at 61 from prostrate cancer. I am 49 at the moment and feel I should go about getting a test, where do I start and is it something I would get for free being only 49?

Denise Dallender commented:


I'm sorry to hear about your parents and brother. I hope you're getting the support you need and you're coping well.

I appreciate your concern regarding your family history.

The statistics for age do show that most men with prostate cancer are in the over 50 age group. However a large percentage of men in this group are over 70.

Due to your family history I would certainly discuss this with your GP. There is a higher risk of prostate cancer if an immediate relative has had prostate or breast cancer. I'm sure your GP will be able to answer all of your questions regarding family history and possible screening.

I wish you well with your future. 



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