Public well being messaging round prostate most cancers locations a deceptive concentrate on urinary signs and could also be hampering efforts of early detection, scientists have warned.
Cambridge College researchers mentioned there was “no proof of a causal hyperlink between prostate most cancers and both prostate measurement or troublesome male urinary signs”.
Nonetheless, public well being steering repeatedly promotes this hyperlink, with an elevated must urinate excessive on the record of signs for prostate most cancers given on the NHS web site.
In a evaluation revealed within the journal BMC Medication, the researchers argue the “sturdy public notion” male urinary signs are a key indicator of prostate most cancers “could also be significantly hampering efforts to encourage early presentation”.
“If charges of earlier analysis are to enhance, we name for sturdy clear messaging that prostate most cancers is a silent illness particularly within the curable levels and males ought to come ahead for testing no matter whether or not or not they’ve signs,” the paper says.
“This needs to be carried out in parallel with different ongoing efforts to lift consciousness together with focusing on males at highest danger because of racial ancestry or household historical past.”
Prostate most cancers is the most typical kind of most cancers in males. Greater than 52,000 males are identified with it annually and there are greater than 12,000 deaths, based on Most cancers Analysis UK.
Greater than three-quarters (78%) of males identified with the illness survive for greater than 10 years, however that proportion has barely modified over the past decade within the UK – largely as a result of the illness is detected at a comparatively late stage.
In England almost half of all prostate cancers are picked up at stage three of 4.
Vincent Gnanapragasam, professor of Urology at Cambridge College, mentioned: “When most individuals consider the signs of prostate most cancers, they consider issues with peeing or needing to pee extra steadily, notably throughout the night time.
“This misperception has lasted for many years, regardless of little or no proof, and it is doubtlessly stopping us selecting up circumstances at an early stage.”
Whereas prostate enlargement could cause the urinary issues typically included in public well being messaging, proof suggests it’s comparatively uncommon because of malignant prostate tumours, the researchers mentioned.
As a substitute, analysis suggests the prostate is smaller in circumstances of prostate most cancers.