Understanding Prostate Cancer

What is prostate cancer?  

Prostate cancer is a growth of cells that starts in the prostate. The prostate is a part of the male reproductive system; it is a small gland that helps in the production of semen.  

Why are we focusing on prostate cancer?  

In the U.S., prostate cancer is the most commonly diagnosed cancer in men (excluding non-melanoma skin cancers.) Cass County’s prostate cancer rate is 148.43 per 100k. Cass ranks 57th out of 99 counties (1 = highest rates). While it's not possible to completely prevent prostate cancer, adopting certain lifestyle habits can help lower the risk.

Signs & Symptoms 

Early-stage prostate cancer signs and symptoms include blood in the urine, blood in the semen, frequent urination, waking up to urinate more often in the night, trouble getting started when trying to urinate. Symptoms of later-stage prostate cancer include accidental leaking of urine, back pain, bone pain, erectile dysfunction, fatigue, arm or leg weakness, and unintentional weight loss. If you have any symptoms and are concerned, reach out to your provider for guidance.  

Screening Guidelines  

At Cass Health, we recommend that men start screening for prostate cancer at age 45. The screening is a simple blood test called a PSA blood test. The lab check should be repeated every year as part of an annual visit with your primary care provider.  

What to Expect for a PSA Screening

  • The PSA blood test will be taken at your annual check-up once you turn 45.
  • There is no prep work required for the test.
  •  It is recommended that you do not take acetaminophen (Tylenol) within 6 hours of the test. The medicine can interfere with the results.  
  • During your check-up a blood draw will be taken. This means a needle will be inserted into your arm (just like any other blood draw). There may be a slight sting during the initial insert and some mild soreness after, but other than that it is a painless procedure.
  • Your results will be available in MyChart — usually on the same day.
  • Your provider will reach out to you if your results are abnormal to explain the findings and discuss the next steps.