"If you are suffering from any of these symptoms, go and see your doctor immediately so that the cause can be diagnosed and any relevant treatment administered," recommends Professor Peter Lim Huat Chye, senior consultant and advisor of the Department of Urology at the Changi General Hospital in Singapore.

Prostate cancer usually grows slowly, taking years to progress. "The problem," Dr Jason Letran, chair of the prostate health committee of the Philippine Urological Association, "is that often by the time a man notices something is wrong, he's already missed his best chance of a complete cure."

Urologists interviewed by this columnist urges all males who are 40 years old and above to undergo a digital rectal examination (DRE), in which a doctor's gloved, lubricated finger is inserted into the rectum to feel for lumps, enlargement, or areas of hardness that might indicate the presence of cancer.

"It is uncomfortable but not painful, and it's generally brief, lasting less than a minute," assures Prof Lim of Singapore.

A serious drawback to DRE is that it cannot be relied totally. As such, Letran suggested for a blood test that measures prostate-specific antigen (PSA), a protein given off by prostate tissue. In general, the higher the PSA, the greater the cancer risk.

The Ministry of Health in Singapore believes that the combination of DRE and PSA enhances early detection.

The question that ponders many researchers is why Prostate Cancer is ranked third or less in under-developed countries. Some say it's because of more physical work men are subject to in their lifetime compared to developed countries.

1-2-Oscar Sent Message
The obvious difference between the cancer rates observed in more and less developed countries lies in the diagnosis of disease. Timely diagnosis is a product of greater access to health professionals. further, the cause of death in poorer countries is often not accurately determined.

That said, it remains possible (and may be likely) that prostate cancer occurs more frequently in wealthier societies--because of lifestyle, diet, and possible exposure to carcinogens.

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