@kpg7121
They go by the PSA tests, PSMA pet testing. MRI’s. In some cases CT scans and bone scans.

Biopsies at first, unless you pick active surveillance. In that case further tests like above and more biopsies over time.

Hopefully you will never feel prostate cancer.

I have had it for 16 years had four reoccurrences, surgery and radiation. I’ve had A metastasis zapped on my spine. The only thing I’ve ever felt from it is side effects from the drugs and treatments I’ve had.

@kpg7121
I think what is meant their are no symptoms until their are symptoms and then when it is further investigated through mri’s, biopsies, Pet’s etc they then learn their cancer is advanced and it really was the metastasis of the cancer that finally showed symptoms. I had a friend who was mid 60’s whose primary never gave him a PSA test and it was not until he ended up in the ER for other symptoms and a PSA was taken in the 200’s. He had no symptoms and was stage 4 metastatic bone cancer.

@kpg7121 What’s supposed to happen is that men are supposed to get their PSA tested annually before they have prostate cancer and well before there are symptoms.

This has been the recommendation for well over 30 years (see attached news article from 1992). But, men won’t request the test, and many wait until after they have symptoms.