Prostate Cancer in Younger Men: Recognising Symptoms and Risks

Prostate cancer is often considered a condition that predominantly affects older men, typically those over the age of 65. However, it can also occur in younger men, presenting unique challenges in terms of recognition, diagnosis, and prostate cancer treatment. Research suggests that 8% of Singaporean men between 50 and 59 were diagnosed with prostate cancer between 2014-2018. This article will take a closer look at the symptoms and risks associated with this condition in younger men as well as why early detection and effective management are crucial.

Understanding Prostate Cancer in Younger Men

Prostate cancer occurs when abnormal cells in the prostate gland grow uncontrollably. Although the likelihood of a younger man developing prostate cancer is low, the incidence among this group has surged nearly sixfold over the past twenty years. This statistic underscores the importance of awareness and vigilance, even among younger demographics.

Symptoms to Watch Out For

There are often no symptoms in early prostate cancer. Symptoms of prostate cancer can be subtle and often resemble those of other less severe conditions, such as benign prostatic hyperplasia (BPH) or prostatitis. Key symptoms include:

Frequent Urination: An increased need to urinate, especially at night.
Difficulty Starting Urination: Trouble initiating the flow of urine.
Weak or Interrupted Urine Flow: A weak stream that stops and starts during urination
Painful Urination: Discomfort or pain while urinating.
Blood in Urine or Semen: The presence of blood can be a warning sign.
Pain in the Hips, Back, or Pelvis: Persistent pain in these areas can indicate advanced stages of prostate cancer.

Note: Younger men experiencing these symptoms should not ignore them. Consulting a prostate specialist in Singapore for an accurate diagnosis is essential.

Unique Challenges and Considerations

Misdiagnosis or Delayed Diagnosis

Prostate cancer is less common in younger men, leading to a higher likelihood of misdiagnosis or delayed diagnosis. Symptoms may be attributed to other conditions, and younger men might not be routinely screened for prostate cancer. This suggests the need for heightened awareness, proactive healthcare, and timely prostate cancer treatment.

Aggressiveness of Cancer

Prostate cancer in younger men can sometimes be more aggressive than in older men. This aggressiveness necessitates prompt and effective treatment to prevent the spread of cancer and improve outcomes.

Genetic and Lifestyle Factors

Younger men with a family history of prostate cancer or breast cancer, particularly those with BRCA1 or BRCA2 gene mutations, are at an increased risk. Additionally, lifestyle factors such as diet, obesity, and physical inactivity can contribute to the risk of developing prostate cancer at a younger age.

Importance of Early Detection

Early detection of prostate cancer significantly improves treatment outcomes. Younger men should be aware of the following options for prostate cancer screening in Singapore:

PSA Test: The prostate-specific antigen (PSA) blood test measures the level of PSA in the blood. Although not specific for prostate cancer, elevated levels can indicate prostate cancer. Further testing is needed for a definitive diagnosis.
Digital Rectal Exam (DRE): A physical examination where a healthcare provider feels the prostate gland through the rectum to detect abnormalities.
MRI Prostate and/or Biopsy: If initial tests suggest prostate cancer, an MRI Prostate and/or biopsy may be performed to confirm the diagnosis and determine the cancer’s aggressiveness.

Emotional and Psychological Impact

A diagnosis of prostate cancer can be emotionally and psychologically challenging, especially for younger men who may be in the midst of their careers, raising families, or planning for the future. Support systems, including counselling, support groups, and open communication with loved ones, play a vital role in managing the emotional repercussions.

Resources and Support

Support Groups: Connecting with others who have experienced similar challenges can provide comfort and advice.

Counselling Services: Professional counselling can help in coping with anxiety, depression, and stress related to the diagnosis and treatment.

Educational Resources: Websites such as the Singapore Cancer Society offer valuable information on treatment options and coping strategies.

Explore your options with Assure Urology and Robotic Centre

For early detection and a successful prostate cancer treatment in Singapore, it is crucial to raise awareness among younger men. Recognising the symptoms and understanding the risks can lead to timely medical consultation and better outcomes. By staying informed and proactive, younger men can navigate the challenges of prostate cancer with greater confidence and support. If you’re seeking medical guidance, reach out to our urology doctors at Assure Urology and Robotic Centre for more information.

References

Farrer Park Hospital, ‘Prostate Cancer Risk in Younger Men’, 18 November 2021