
Because of this, waiting for signs or discomfort before getting checked can delay diagnosis, limiting treatment options and affecting long-term outcomes.
Here’s what every man (and every family) should know:
Unlike some cancers that produce early warning signs, prostate cancer tends to grow silently. Many men feel healthy and experience no changes at all — even when cancer is already developing.
By the time symptoms such as difficulty urinating, blood in urine, or bone pain appear, the cancer may already be more advanced. That’s why relying on symptoms alone is not recommended.
Screening is the safest and most reliable way to detect prostate cancer early — when treatment is most effective.
In South Africa, screening guidelines consider age, genetics, and family history.
✔ Someone with a family history of prostate cancer
✔ Someone with a family history of breast cancer (e.g., BRCA-related risk)
Age 45 and do not have the above risk factors.
Screening is a simple, quick process — and for many men, it provides peace of mind and a proactive approach to long-term wellbeing.
Screening does not diagnose cancer. Instead, it looks for possible indicators that further testing might be needed.
1. A PSA blood test
This checks the level of prostate-specific antigen in your blood. While elevated PSA does not automatically mean cancer, it tells your urologist whether additional evaluation is needed.
2. A Digital Rectal Exam (DRE)
A brief exam that allows your doctor to feel the prostate for any abnormalities.
If either screening raises concern, your urologist may recommend additional imaging (such as an MRI) or, when appropriate, a biopsy.
Finding prostate cancer early offers:
More treatment options
Less aggressive interventions
Better quality of life
Stronger long-term outcomes
Most importantly:
Early-stage prostate cancer is often cureable — and requires regular monitoring to exclude recurrence.
Screening empowers men to make informed decisions about their health before complications arise.
When the disease progresses, symptoms may extend beyond the bladder. You may feel pain in your side or lower back, lose appetite, feel fatigued, or notice swelling in the legs.
Prostate cancer risk doesn’t only concern men — it impacts families. Spouses, partners, and adult children often play a key role in encouraging loved ones to get screened.
A simple conversation could lead to early detection — and ultimately, save a life.
Our team provides patient-centred, compassionate care with a focus on education, dignity, and empowerment.
Whether it’s your first screening or you’re due for an annual check, we’re here to guide you every step of the way.
Africa Urology is a specialist practice founded by Dr. Viola Morolo, the first Black female urologist to graduate from the University of Pretoria.
Stay informed on common urological conditions and symptoms