prostate tumor

Name: Prostate tumor

 

With prostate tumors in the early stages, the following symptoms are traditionally present (characteristic of both benign and malignant tumors):

• frequent urination – prostate tumors are characterized by the appearance of nighttime urination (normally, a person should not go to the toilet at night!);
• difficulty starting urination – the patient will need time to begin the act of urination;
• a feeling of incomplete emptying of the bladder – after the end of the act of urination, the patient has a feeling that he did not urinate completely, and it is not often necessary to repeat attempts to continue urination;
• weak urine stream – the urine stream falls vertically downward or describes a different trajectory than it was in youth;
• imperative urge to urinate – that is, when an urge to urinate occurs, the patient urgently needs to empty the bladder, and all the patient’s thoughts are directed to where and how to do this (imperative – imperative);
• urinary incontinence – occurs both due to the fact that the patient cannot find a place where he can urinate with an imperative urge, and when the bladder is full due to urinary retention;
• urinary retention – occurs when the urethra is squeezed by a tumor. It happens acute – urination is completely absent and chronic, with all this, after each very difficult urination, more than 100 ml of “residual urine” remains in the bladder.

For tumors of large sizes, that is, in the later stages, along with the above, there may be the following symptoms (more often with malignant tumors):

• hematuria – the appearance of blood in the urine, traditionally associated with the germination of the tumor in the bladder or urethra;
• painful urination – traditionally associated with the germination of the tumor in the urethra;
• Urinary incontinence – with large tumors, it may be due to the germination of the tumor in the sphincter of the urethra (i.e., a violation of the urinary retention mechanism);
• pain in the lumbar region – can occur when there is a violation of the outflow of urine from the upper urinary tract due to the germination of the tumor of the ureter (when both ureters sprout at once, a life-threatening situation arises – anuria, i.e. lack of urine);

• renal failure – manifested as a result of inadequate outflow of urine from the upper urinary tract;
• hemospermia – blood in the semen when the prostate gland is affected by a tumor;
• impotence – may be due to tumor damage to the neurovascular bundle passing along the prostate gland;
• pain in the perineum and above the pubis – occurs when the perineal and suprapubic nerve is involved in the tumor process;
• involvement of the rectum in the tumor process – manifested by constipation, tenesmus (urge to defecate), bleeding, secretion of mucus from the rectum, intestinal obstruction.

Symptoms of prostate cancer with metastases include:

• pain in the bones affected by metastases – most often pain in the lower back and pelvic bones;
• paraplegia, ischalgia – due to compression of the spinal cord, the patient may have both severe pain and paralysis of the lower parts of the body;
• swelling of the legs – traditionally associated with damage to the lymph nodes and / or compression of the veins, which causes lymphostasis in the lower extremities;
• weight loss, cachexia, drowsiness, intestinal bleeding – as a manifestation of cancer intoxication.

Articles from the forum on the topic ” Tumor of the prostate “