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9 prostate cancer myths you shouldn't believe

Prostate cancer is the most common cancer among Canadian men. On average, 76 Canadian men will be diagnosed with prostate cancer every day. Because prostate cancer affects so many people, there is a lot of information about the risks, effects of treatment and outcomes of this disease. But there is also a lot of incorrect information.

This Prostate Cancer Awareness Month, learn the truth about these common prostate cancer myths so you can tell fact from fiction.

1) Myth: Prostate cancer only affects older men.

Fact: While the risk for prostate cancer increases as men get older, age is only 1 risk to consider. Men in their 60s are most often diagnosed, but behaviours, substances or conditions can also affect your chances of developing prostate cancer.

Some risks are out of your control. For example, if you have close relatives (your father, brother or son) who were diagnosed, the greater your risk is for developing prostate cancer. Prostate cancer also occurs in Black men more often than in men of other ethnicities.

Other risks may include weight, inherited gene mutations or tall adult height. Learn about other possible risks for prostate cancer and ask your doctor questions about risks.

A man sitting on a couch and writing in on a pad of paper.

2) Myth: Prostate cancer is always fatal.

Fact: The death rate for prostate cancer has been declining since 1995, partly because of improved treatments made possible by cancer research. It is estimated that about 1 in 8 Canadian men will develop prostate cancer during their lifetime and 1 in 30 will die from it.

When prostate cancer is caught early, nearly 100% of men diagnosed will survive at least 5 years. But if it’s caught late, 5-year survival drops to 41%. That’s why prostate cancer screening is so important. Learn more about finding prostate cancer early.

A man sitting on an MRI table. A doctor is standing beside him, looking down at his notes.

3) Myth: A high PSA level means you have prostate cancer.

Fact: A prostate-specific antigen (PSA) test measures the amount of a protein made by prostate cells in the blood. A PSA test is often used to find prostate cancer early.

PSA levels can be high for different reasons. It doesn’t always mean you have prostate cancer. PSA levels naturally go up with age. A higher-than-normal level may be caused by several factors, such as an enlarged prostate due to benign prostatic hyperplasia BPH, a urinary tract infection, an inflamed or infected prostate, sexual activity that includes ejaculation, or a recent medical test or procedure on the prostate.

4) Myth: Treatments for prostate cancer cause the loss of your sex life.

Fact: It’s common for prostate cancer treatments to cause changes in a person’s sex life, such as a lower sex drive or erectile dysfunction. Some changes may be short term and others long term but it doesn’t mean that this part of your life will be over. Your healthcare team can help you manage any challenges.

Urologists, psychologists, psychiatrists, family doctors or other specialists may be able to help with sexual problems.

For more information, read our resource on sex, intimacy and cancer.

A man sitting on a couch, speaking to a person holding a clipboard.

5) Myth: Treatment will cause permanent loss of bladder control.

Fact: While bladder issues are a common side effect of surgery, radiation and the cancer itself, there are ways to manage urinary incontinence. Any treatment that removes the prostate or destroys the prostate tissue can affect urination. In some cases, this can be permanent. In others, it may be temporary, lasting a few weeks to a few months.

Your healthcare team can help you manage any bladder issues. Some ways may include bladder training and exercises, medicines, medical devices or surgery.

6) Myth: Prostate cancer shows signs or symptoms.

Fact: Many prostate cancers grow slowly and cause no symptoms or problems. In the early stages, signs of symptoms of prostate cancer will not always be obvious, but can cause changes in the body as the tumour grows. If signs do appear, they will not always be related to bladder or ejaculation issues. Other signs may be feeling tired, or a pain or stiffness in the back, hips or pelvis that doesn’t go away.
A doctor wearing a stethoscope and lab coat, writing in a chart.

7) Myth: Prostate cancer is usually diagnosed at a late stage.

Fact: Prostate cancer can be diagnosed at any stage. There are 2 tests available to find prostate cancer early. The PSA test can show problems with the prostate but cannot diagnose cancer. A digital rectal exam (DRE) is a physical exam of the prostate through the rectum. Using these tests together is better for early detection than using either test alone.
A close-up of a in a person in a hospital gown sitting on a bed with their hands clasped together in their lap.

8) Myth: BPH increases your risk for developing prostate cancer.

Fact: BPH is an enlargement of the prostate caused by an overgrowth of cells (called hyperplasia in the prostate. BPH is a non-cancerous condition and there is no link to a higher risk for prostate cancer. BPH isn’t considered a health problem unless it causes symptoms. By age 70, almost all men will have some prostate enlargement.

9) Myth: Surgery is the best treatment for prostate cancer.

Fact: Your healthcare team will create a treatment plan that will depend on your health, specific information about the cancer and personal factors. Other treatments for prostate cancer can include radiation therapy, hormone therapy, chemotherapy or targeted therapy.

When deciding which treatments to offer for prostate cancer, your healthcare team will consider factors such as the type and stage of the cancer and possible side effects of treatments.

Two surgeons dressed in surgical gowns stitching a person with a pair of scissors and surgical thread.

Help change the future of prostate cancer

Because prostate cancer is one of the least preventable cancers, research advancements are needed to save more lives. This Prostate Cancer Awareness Month, join the Canadian Cancer Society in funding world-leading research to improve early detection, treatment and support.