Prostate Cancer Community
After years of urinary problems prostate feels huge...
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This patient support community is for discussions relating to advanced or metastatic prostate cancer, biopsy, bone scan, blood in urine or semen, benign prostatic hyperplasia (BPH), CT scan, cystoscopy, erectile dysfunction (ED), hormone therapy, incontinence, pain (abdomen, lower back or hip), PSA test, prostatitis, radiation therapy, rectal exam, recurrent cancer, screening, staging (tumor size, metastasis), transrectal ultrasound, and urinary difficulty, burning, or urgency (leaking).

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After years of urinary problems prostate feels huge...


Well for years I have had urinary problems but nothing could ever be found from many different types of exams over the years. This is about 9 years ongoing.  I had a PSA done in 2005 that came back normal and a few digital rectal exams after that.  Only recently I can feel the swelling of the prostate from the presure in the rectum and it really aches but also subsides to almost nothing.  It seems to be aggrivated by ejaculation and subsides over time if I don't have sex.  What could that be?  Thing is it doesnt really go away now, not completely.

I'm waiting on a urology appointment coming up in about 2 weeks.  I am 39 years old with a history of prostate cancer in my family, father's was caught early and he had it at about age 55 and was succefully treated with the radioactive seed implant.

I guess my main question/s is this (and I do not know who I'm addressing really, haha):

Is it more likely I could have prostate cancer now after so many years of symptoms and not having it?  
My prostate didn't often swell to the sizes it gets to now.

With ejaculation discharge related swelling is it LESS likely I have prostate cancer and more likely prostatitis or some kind?

I had previously been diagnosed with neurogenic bladder because no prostate irregularities were found ..they won't miss the swelling at this comming appointment

I'm worried and waiting on that appointment. I had been prescribed only antibiotics in the past and nothing else, surprisingly.

Thank you.
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Hi Newad,

It's great that you are tuned in to the signs that your body is giving you.

It's hard to say if you are at increased risk for prostate cancer based only on what you described above.

There are other conditions that can cause an enlarged prostate, like benign enlargement of the prostate. So a prostate that "feels big" does not necessarily mean cancer.

The best way to find out if you have prostate cancer is by a PSA test and a digital rectal exam. Even these tests will not tell you for certain, but they will tell your doctor if you need to go any further with testing for cancer (i.e. biopsy), or if you need to start investigating other possible medical causes for your discomfort.

If prostate cancer runs in your family, it is a great idea to start taking charge of your prostate health at your age. It's also important to find a urologist you're comfortable with and that you trust.

BTW there a bunch of helpful resources online if you want to learn more about this:

Good luck to you and I hope your appointment turns out OK!

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