Several, but rare. : Most prostate cancers in this country are detected by psa screening, and have no initial signs or symptoms. Beyond this group, the first sign can be a nodule or lump felt on the prostate during a digital rectal exam (dre). More advanced cases present with symptoms, such a difficult urination, bone pain, and neurologic deficits, but his is much more rare in a contemporary screened population.
Answered 12/9/2013
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