GuidelinesPrimary Care STG
Prostate Cancer
Urology
C61/D07.5/D29.1/D40.0
DESCRIPTION
- Usually occurs in men >50 years of age and is most often asymptomatic.
- Systemic symptoms, i.e. weight loss, bone pain, etc. occurs in 20% of patients.
- Obstructive voiding symptoms and urinary retention are uncommon.
- The prostate gland is hard and may be nodular on digital rectal examination.
- As the axial skeleton is the most common site of metastases, patients may present with back pain or pathological spinal fractures.
- Lymph node metastases can lead to lower limb lymphoedema.
REFERRAL
- All patients with suspected cancer.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare, 2020-2024_Version 1.0_17 October 2024
Chapter 8: Kidney and Urological Disorders_8.8 Prostate Cancer