Mr Manar Malki
Consultant Urologist and Robotic Surgeon
Specialist expertise: Urology, Kidney Stones, Prostate Cancer, Urological Cancer.
Prostate cancer is the most common cancer in men. It’s a slow-growing type of cancer that doesn’t usually cause any signs or symptoms in its early stages, which is why regular screening is so important.
The prostate is a small, walnut-sized gland found under the bladder in males. It makes a thick, white fluid that mixes with sperm to create semen.
Prostate cancer is a very common type of cancer that grows on the outer part of the prostate. Because it tends to grow slowly, prostate cancer doesn’t cause any symptoms until it’s started spreading to other tissues and organs.
Our prostate cancer specialists see patients with prostate cancer in our purpose-built Men’s Health centre, where they offer the most advanced care in both diagnostics and treatment.
In the early stages of prostate cancer, you won’t usually notice any symptoms. As the cancer progresses, you might:
have trouble urinating – such as having a weak flow, “stop-start” peeing, still feeling the urge to urinate when you’ve finished, or straining to pee
need to pee more often – sometimes suddenly and urgently, both day and night
Other symptoms can include:
blood in your urine or semen
tiredness
lower back pain
losing weight without trying to and not feeling hungry
The exact cause of prostate cancer isn’t fully understood, but you’re thought to be more at risk if you:
are over the age of 75
are overweight or obese
come from a Black ethnic background
have a family history of prostate cancer
have a close relative that’s had breast cancer or ovarian cancer – prostate cancer is sometimes caused by the same inherited genes (BRCA2)
Prostate cancer can be diagnosed through a series of tests, such as:
digital rectal examination – where your specialist inserts a gloved finger into your rectum to check your prostate for abnormalities
prostate-specific antigen (PSA) blood test – this can’t diagnose prostate cancer on its own, but it’s a helpful tool alongside other tests
multiparametric MRI scan – used to give a clear view of the prostate, and to see if a biopsy is needed
biopsy – if your specialist is unsure, they may take a small sample of tissue from your prostate to check for cancer cells
It’s not always possible to avoid prostate cancer, but you may be able to lower your risk by:
maintaining a healthy weight
eating a healthy diet, including plenty of fruits and vegetables
exercising regularly
avoiding smoking and limiting how much alcohol you drink
If left untreated, or as a side effect of some types of treatment for prostate cancer, complications can develop, such as:
metastatic prostate cancer – a cancer that spreads to other parts of the body, including the bones or other organs
urinary incontinence – not being able to control when you pee
erectile dysfunction – finding it hard to get or keep an erection
permanent dry ejaculation – having an orgasm without releasing any semen
As prostate cancer is often slow-growing at first, you may not need any treatment, especially if you have no symptoms. If this is the case, your consultant may take a watch and wait approach, where you are monitored at regular intervals for changes in your condition.
If and when the signs of prostate cancer begin to affect your everyday life, treatment options can include:
radiotherapy – as brachytherapy or standard external beam radiotherapy
surgery – a minimally invasive procedure to remove the prostate (radical prostatectomy)
focal therapy – this treats only the areas of cancer, rather than the whole prostate gland
In advanced stages of prostate cancer, where the disease has spread to other parts of the body, hormone therapy or chemotherapy is often used.
At Welbeck, our specialists are experts in their field and are dedicated to providing world-class care to every patient.
With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.
All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.
Your health is important to us, so we strive to offer same-day appointments whenever possible.
Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.
Get in touch today to book an appointment.
A prostate-specific antigen (PSA) blood test shouldn’t be used to diagnose prostate cancer on its own, but a raised level may suggest the need for further testing. This is because PSA blood levels can fluctuate due to many reasons, like prostate inflammation, a urinary tract infection, and certain medications. But in general, the likelihood of prostate cancer increases with raised blood PSA levels – around 4.0 ng/mL or above.
Chemotherapy is sometimes used to treat advanced-stage prostate cancer. Common side effects include hair loss, poor appetite, mouth sores, diarrhoea or constipation, nausea, vomiting, and tiredness.
Black men are more at risk of prostate cancer because of a mix of genetic factors that can lead to specific mutations. Other factors may also play a role, such as different responses to the environment, like diet and pollution.
As with all cancers, the earlier prostate cancer is diagnosed, the better the outcome. In the UK, 80% of men will live 10 years or more after being diagnosed. But in men who’re diagnosed in the very early stages, nearly 100% will live more than 5 years.
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The specialists at OneWelbeck Men's Health use the latest innovations in healthcare to accurately diagnose and treat a wide range of urological conditions.