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Prostate cancer - Coggle Diagram
Prostate cancer
Signs and symptoms
Lower back or bone pain
Lethargy
Erectile dysfunction
Visible haematuria
Anorexia/weight loss
Lower urinary tract symptoms
Diagnosis
Digital rectal examination (DRE)
Note that a normal feeling prostate does not exclude cancer.
Prostate-specific antigen (PSA) Testing
Note PSA should be taken prior to DRE or 2 weeks after DRE. As DRE will give false positive.
International Prostate symptom score (IPSS)
Incomplete emptying
Frequency
Intermittency
Urgency
Weak stream
Straining
Nocturia
Risk factors
Age >50 years
Black ethnicity
Family history of prostate cancer
If positive PSA or DRE for USoC referral to urology
Treatment options
Watchful waiting
Active surveillance
Radical treatments
Prostatectomy
Radiotherapy
Brachytherapy
Adjunctive and palliative treatments
Hormone therapy
Chemotherapy
Bisphosphonates