Not all men will show any symptoms and a lot of men may have this condition without it leading to any problems. It may be found if they are offered a PSA test from their GP or health provider or possibly undergo a digital rectal examination for another condition, either of which may highlight a problem.
Other men may experience lower urinary tract symptoms like those occurring with benign growths in the prostate gland, which may lead to tests being done to rule out potential prostate cancer. These urinary symptoms can include:
Poor stream - the urine flow is weaker and it takes longer to empty the bladder
Hesitancy - having to wait for a while before the urine starts to flow
Dribbling - after finishing, a bit more urine may trickle out and stain underpants
Frequency - having to pass urine more often, most irritatingly at night. Getting up several times a night is common and is called 'nocturia'
Urgency to urinate - having to get to the toilet fast
Poor emptying - a feeling of not quite emptying the bladder
Sometimes men may go to their doctor with symptoms related to cancer cells that have spread away from the prostate gland (metastases) such as back pain or pain in the bones that doesn't change or go away with simple pain killers. Tests can be carried out to determine the stage of the cancer.