Prostate cancer is among the most common cancers diagnosed in older men and is the third most common cancer in Malaysia. Fortunately, it is not the leading cause of death. If diagnosed in a timely manner, 90% of prostate cancers are curable. This only highlights the importance of cancer screening.


Here it is vital to understand that prostate cancer is very slow-growing and generally does not cause any early symptoms. Thus, the only way to detect prostate cancer early enough is with the help of diagnostic tests.

The most common screening method used to detect cancer is the prostate-specific antigen (PSA) blood test accompanied with a digital rectal examination. However, one should understand that even if this test is positive, it does not essentially mean cancer. Thus, if this test is positive, doctors would still carry out other various tests, and in some cases they might even recommend a prostate biopsy.

If you are unsure whether you should get screened for prostate cancer or not, then the recommendation is pretty simple. If you are above the age of 40 and have a family history of prostate cancer, you should get screened. Those without a family history and any prostate issues should still get screened for prostate cancer if they are older than 50 years of age.


Prostate cancer screening tests

PSA testing is the most commonly recommended blood test for prostate cancer screening, and all men between the ages of 50-70 should get this test done. However, high-risk individuals may get this test done more frequently. The test can also be done in high-risk individuals below the age of 50 like those:

  • With a family history of prostate cancer
  • Who had frequent urinary or sexually transmitted infections or are living with prostatitis
  • People with a sedentary lifestyle and living with various metabolic disorders
  • Those who had high exposure to toxins like herbicides


Free PSA testing

There are two kinds of PSA tests. One is bound with the circulating proteins, and another is free PSA. In high-risk individuals, testing for free PSA is also essential, as studies show that those with free PSA above 25% have a low risk of prostate cancer. However, free PSA below 10% may suggest a greater risk of prostate cancer.

As already mentioned, PSA tests along with a digital rectal exam might suggest a cancer risk. However, none of these tests are confirmatory. Hence, doctors would need to order a prostate biopsy if there is clinical suggestion of prostate cancer. Prostate biopsy is invasive as it involves taking a sample of prostate tissues and examining them under the microscope. Alternatively, a doctor may order a Prostate Health Index(PHI) test to help differentiate a benign PSA elevation from a cancerous elevation and reduce the need for a biopsy. A key metric is prostate velocity. It is regarded as high if PSA increases at the rate of > 2.0 ng/ml per year. This may suggest either prostate cancer or some chronic prostate infection.


Prostate cancer symptoms

Before we discuss various prostate cancer symptoms, a word of caution, remember that prostate cancer may not produce any symptoms in its early stages. Moreover, even in later stages, symptoms may be similar to those found in BPH. Hence, prostate cancer is always diagnosed with the help of various lab tests.

Nevertheless, there are some of the signs and symptoms that may suggest a higher risk of prostate cancer, like:

  • Trouble starting urination
  • Frequent urination at night
  • Dribbling and weak urine flow
  • Blood in urine
  • Difficulty in maintaining an erection for long enough
  • Painful ejaculation
  • Bone pains like those of thigh bones, pelvis, and lower back
  • Prostate cancer treatment options


Prostate cancer can be cured in majority of cases if diagnosed early enough. Even if it is diagnosed late, treatment can considerably prolong life, as medications can slow down its progression.

Like all cancers, doctors may combine different treatments like chemotherapy, hormonal drugs, immune therapy, radiotherapy, and even surgical removal of the prostate gland. The choice of treatment depends on many factors, like the Gleason score, stage of disease and the patient’s age.

Prostate Cancer

To sum up, prostate cancer is among the most common cancers in men. Fortunately, it is a slowly progressing cancer, and one can expect to live for several years after its diagnosis. However, lots would depend on the timely diagnosis of the condition.

Additionally, one must understand that prostate cancer has no specific signs and symptoms. Blood tests and digital rectal exams can help estimate the risk, but they do not confirm or in some cases exclude prostate cancer. Hence, a prostate biopsy is the only confirmatory test available. Since prostate cancer is so challenging to diagnose in its early stages, it only highlights the importance of frequent cancer screening in men.

Speak to our doctors today to find out the various cancer screening options available at Hisential Sexual Health Clinic in Kuala Lumpur.

What our customers are saying about us

Brandon Yong
Brandon Yong
14 April 2024, 1:53pm First time here for consultation on Sunday. Fee for weekdays RM60-85 and weekends RM100. I was notified prior for weekdays fee only, not weekends. It would be great if Eva, the assistant from WhatsApp could mention all the fees clearer to their customers. Anyway, my consultation with ‘Dr. Siao’ was amazing. Very informative and precise, attention to detail. 5 stars for him. Environment inside the clinic is very professional as well. The reception at the front also amazing.
dia mohamed
dia mohamed
This clinic got 5 stars and it is really 5 stars, I have done full medical check up. 1st time when I arrived there was a very good welcoming with water and offering coffee, I met Dr Jasvinderpal, he give a good time to explain about the background and what I feel, then start to ask me questions then he started to explain everything in detail in a very clear way, after that he give me the best options to go through for the best for me and I'm so happy and satisfied and actually I'm glad to meet him and glad find this great place. Highly recommend place, and highly recommend Dr. Jasvinderpal. No one asked me to write this review, I just do it as a small appreciation for the good quality of clinic and amazing Doctor Jasvinderpal:)
pradeepkumar ravikumar
pradeepkumar ravikumar
Got good assistance and really nice ambiences. Faculties are really carrying overall I am satisfied with the medication and procedure
Very good consultation
Sugaan Bala
Sugaan Bala
Great session with the doctor. Dr Gerard was very helpful and knowledgeable. Thank you Dr
Janeen Chan
Janeen Chan
The experience here is super efficient and classy. Very well maintained!
Good customer service and you can talk to the doctor like a friend
The doctor know what he is doing

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