Prostate cancer affects 1 in 6 men

O prostate cancer it is the second most common malignancy in men, after skin cancer. The good news is that, when diagnosed at an early stage, that is, it is limited to the limits of prostate, the probability of cure is over 90%. Therefore, the month of November is dedicated to reminding men about the importance of routine examination.

According to the urologist at Hcor, Dr. Antonio Corrêa Lopes Neto, the ideal age to start checking can vary slightly. “In general, it is recommended that men start testing at age 50. However, if there is a family history of the disease, we recommend taking it to 40-45 years. Likewise, individuals of the black race should also be concerned earlier“, he instructs.

To check the health of the prostate, the doctor may order three tests: the dose of PSA in the blood (a cancer biomarker), prostate palpation examination and finally MRI of the prostate. “Usually, prostate cancer does not show signs in an early stage. Therefore, we always explain to men that the absence of symptoms does not exclude the possibility of this disease. Only with exams will we be able to evaluate properly“, warns Dr. Nephew.

If disease is suspected from the checkup, the doctor asks for a biopsy of the prostate, to check for malignancy and to evaluate the best course of action to fight cancer. “Currently, there are excellent treatment options for all stages of the disease. Technological advances and better knowledge of prostate anatomy have resulted in less morbid operations, with fewer complications and excellent oncologic-functional outcomes. Radiotherapy has also undergone a great evolution and presents good results with few complications. Today, we also have a wide variety of effective medicines, especially for more advanced diseases.“, explains the expert.

The impact of the pandemic

During the Covid-19 health crisis, there was a large reduction in routine tests, including PSA blood testing. Compared to the period January-September 2019, Hcor recorded a decrease of almost 30% in 2020 and over 7% in 2021. Only in this year the institution has recorded an increase of about 5%, compared to the same period of 2019.

Postponing the check-up increases the chance of diagnosing the cancer at a more advanced stage. Ideally, examinations should be performed every year, from the age recommended by the doctor. Blood collection for PSA measurement, for example, can be performed at the patient’s own home.“, emphasizes Dr. Nephew.

Red alert

Although prostate cancer does not show symptoms in the early stages, due to the delay in performing tests caused by the Covid-19 pandemic and the embarrassment of men in performing a touch examination of the prostate, some changes can be observed, such as sh.

  • Burning or painful urination;
  • frequent urination;
  • Leakage of urine after urination;
  • Weak or interrupted flow of urine;
  • The urge to urinate frequently at night (Nocturia);
  • Blood in urine or semen;
  • erectile dysfunction;
  • Pain in the hip, back, thigh, shoulder or other bones;
  • Weakness or numbness in the legs or feet.

When any change is observed, it is necessary to go to the doctor to perform the appropriate tests and find out the cause. The sooner the problem is diagnosed, the greater the chances of recovery and the smaller the impacts on quality of life.”, concludes Hcor urology, Dr. Antonio Correa Lopes Neto.

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