Among age-related ailments, cases of prostate-related problems are being reported with increasing frequency. Most concerning is the fact that prostate cancer is the third most common cancer among Indian men. Since it primarily affects older men, one must remain vigilant regarding this condition as they age.

Dr. Sudhir Rawal (Medical Director, Genito-Uro Oncology, Rajiv Gandhi Cancer Hospital, Delhi) explains that this disease is typically diagnosed around the age of 65. It is estimated that one in every 125 men is at risk of developing it.

Prostate cancer is often not discussed openly. Many men associate cancer solely with pain or visible physical symptoms; consequently, as long as they feel healthy, they tend to defer conversations regarding their health. These myths surrounding symptoms and treatment can allow the disease to progress to a critical stage. Some individuals even believe that there is no cause for concern unless pain or obvious symptoms are present. It is precisely these myths that lead to delays in timely screening and treatment.

Myth 1: If I feel healthy, I cannot have prostate cancer.
Fact: In its early stages, prostate cancer often develops without any apparent symptoms. In most cases, symptoms manifest only after the disease has advanced, which can make treatment more complex.

In India, a lack of awareness and the absence of regular screening also contribute to delayed diagnosis. The risk increases with age or if there is a family history of the disease. Therefore, men over the age of 50 should consult a doctor and undergo regular check-ups to ensure timely detection and facilitate better treatment outcomes.

Myth 2: If I have prostate cancer, I will have to undergo painful treatments.
Fact: In the modern era, treatments for this condition have become more advanced and personalized. Not every patient requires the same treatment protocol. The method of treatment is determined based on the patient's age, the stage of the disease, their general health, and their personal preferences. Even in the advanced (metastatic) stage, treatment is possible in many cases using hormonal therapy and new targeted drugs—often without the need for chemotherapy. This allows patients to maintain their daily routines and lifestyle to a significant extent.

Myth 3: If cancer has spread, nothing can be done.
Reality: Advanced-stage cancer is not the end. Even when prostate cancer spreads to other parts of the body, several treatment options remain available.

New and modern therapies can slow the progression of the disease, alleviate symptoms, and help maintain a good quality of life. Today, for many patients, advanced prostate cancer is managed as a chronic condition, where treatment regimens are periodically adjusted to meet the patient's specific needs.

The risk of prostate cancer increases with age; however, with the right information and awareness, effective treatment is possible. Men over the age of 50 should have open conversations with their doctors regarding prostate health, screening options, and available treatments to ensure that appropriate steps are taken at the right time.

What are the early symptoms?
Prostate cancer often develops silently. Early symptoms of prostate cancer may include difficulty urinating, pain in the pelvic region, blood in the urine, frequent urination, or difficulty initiating or maintaining a steady flow of urine.

When should you see a doctor?
Men over the age of 50 are advised to undergo regular prostate cancer screenings and consult their doctors—particularly if blood is observed in the urine, as this is a common symptom of prostate cancer.

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