Symptoms of prostate cancer

Prostate cancer does not usually cause symptoms in the early stages. 

To cause symptoms, the cancer needs to be big enough to press on the tube you pass urine through (urethra Open a glossary item). But most prostate cancers start to grow in the outer part of the prostate gland. This means that in the early stages, they don’t press on the urethra. So they don’t change the way you pass urine.

Diagram showing prostate cancer pressing on the urethra

Urinary symptoms such as difficulty passing urine are rarely caused by prostate cancer. They are much more likely to be symptoms of non cancerous condition. This condition is called benign prostatic hyperplasia (BPH) Open a glossary item.

Prostate cancer can spread to other parts of the body. This is called advanced or metastatic prostate cancer. It can cause symptoms such as:

  • back or bone pain that doesn’t go away with rest
  • tiredness
  • weight loss for no reason

Speak with your GP if you have any of these symptoms.

Benign prostatic hyperplasia (BPH)

As men get older their prostate gland enlarges. This is a common condition called benign prostatic hyperplasia (BPH). As the prostate gland enlarges, it can press on the urethra and bladder. This can affect how you pass urine and cause symptoms such as:

  • passing urine more often during the day or night - this is called nocturia

  • a weaker flow when passing urine

  • urgency to pass urine

  • not emptying your bladder completely

  • straining when starting to empty your bladder

BPH does not develop into cancer. But you can have an enlarged prostate at the same time as having areas of cancer cells in the prostate gland. 

It’s important to see your GP if you have symptoms of BPH. The symptoms don't mean that you have prostate cancer, but it is important to get them checked. As part of investigating the cause of the symptoms, you might have a blood test called a PSA test. This is one of the tests doctors use to help diagnose prostate cancer.

  • Prostate cancer: diagnosis and management
    National Institute for Health and Care Excellence (NICE), 2019. Last updated December 2021

  • Prostate cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow up
    C Parker and others
    Annals of Oncology, 2020. Vol 31, Issue 9. Pages 1119-1134

  • Suspected cancer: recognition and referral
    National Institute for Health and Care Excellence (NICE), 2015. Last updated Dec 2021

  • National Institute for Health and Care Excellence (NICE): Prostate cancer
    Clinical Knowledge Summaries site (CKS), updated April 2025
    Accessed May 2025

  • Clinical presentation and diagnosis of prostate cancer
    M Taplin and J Smith
    UpToDate, accessed May 2025

  • The information on this page is based on literature searches and specialist checking. We used many references and there are too many to list here. Please contact patientinformation@cancer.org.uk with details of the particular issue you are interested in if you need additional references for this information.

Last reviewed: 
22 May 2025
Next review due: 
22 May 2028

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