Prostate Cancer Prostate Cancer

Prostate Cancer

Do you have prostate cancer family history or difficulty urination?

Visit Steinberg Urology for a consultation with our urologists to address your concerns, perform diagnosis and provide you on advice as to what treatments are likely to fit your individual circumstances.

Prostate Cancer

Prostate cancer is cancer that occurs in the prostate — a small walnut-shaped gland in men that produces the seminal fluid that nourishes and transports sperm.

Prostate cancer is one of the most common types of cancer in men. Usually prostate cancer grows slowly and is initially confined to the prostate gland, where it may not cause serious harm. However, while some types of prostate cancer grow slowly and may need minimal or even no treatment, other types are aggressive and can spread quickly.

Prostate cancer that’s detected early — when it’s still confined to the prostate gland — has a better chance of successful treatment.

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Prostate cancer, by nature, is “silent” in its early stages. Its symptoms don’t appear until later, when patients may notice difficulty to urinate or pain in pelvis or back. Prostate cancer may also cause other problems with urination, including:

  • Having trouble urinating.
  • A flow of urine that is weak or stops and starts.
  • Painful and burning urination.

Other symptoms may include:

  • Painful ejaculation.
  • Blood in urine or semen.
  • Frequent pain or stiffness in the lower back, hips, or legs.


The exact cause of prostate cancer isn’t known. But experts believe that your age and family history (genetics) may have something to do with your chances of getting the disease.

The prostate usually gets larger as you age. Having an enlarged prostate (benign prostatic hyperplasia, or BPH) is very common among older men and doesn’t increase your chances of getting prostate cancer. But an enlarged prostate can sometimes be an indication of prostate cancer.


Factors that can increase your risk of prostate cancer include:

  • Age. Your risk of prostate cancer increases as you age.
  • Race. For reasons not yet determined, black men carry a greater risk of prostate cancer than do men of other races. In black men, prostate cancer is also more likely to be aggressive or advanced.
  • Family history. If men in your family have had prostate cancer, your risk may be increased. Also, if you have a family history of genes that increase the risk of breast cancer (BRCA1 or BRCA2) or a very strong family history of breast cancer, your risk of prostate cancer may be higher.
  • Obesity. Obese men diagnosed with prostate cancer may be more likely to have advanced disease that’s more difficult to treat.


We are one of the few clinics in Quebec that offer MRI Fusion Guided Prostate Biopsy.

Prostate Cancer Tests also include:

  • A digital rectal examination, in which the doctor inserts a gloved finger into your rectum to feel your prostate gland, as well as measuring the amount of prostate-specific antigen (PSA) in the blood.
  • A tumour marker test, such as 4Kscore has been shown in studies to be more precise than PSA test. These tests look for signs of cancer in a sample of blood or urine.
  • MRI: Mri imaging of prostate is done to look for abnormal suspicious areas in the prostate and can also see early spread beyond the prostate, to limp lymph or bones nearby.
  • A transrectal ultrasound, in which the doctor inserts a probe into your rectum to check your prostate. The probe uses sound waves (ultrasound) to image the prostate. A prostate biopsy, in which tissue is taken from the prostate and examined under a microscope. A biopsy is the only way to confirm whether you have prostate cancer.

Prostate Cancer Screening


Prostate Ultrasound


Prostate Ultrasound Guided Biopsy


MRI-Ultrasound Fusion Guided Biopsy


Your treatment decision will depend on:

  • Your age.
  • Any serious health problems.
  • Your PSA level.
  • What kind of cancer cells you have. This is called the grade or Gleason score of your cancer. Most prostate cancer cells grow very slowly. But some types of cells grow quickly and spread to other areas of the body.
  • How far your cancer has spread. This is called the stage of your cancer.
  • The side effects of treatment.
  • Your personal feelings and concerns.

Treatment may be more successful if prostate cancer is found and treated early. But not all prostate cancers may need to be treated, at least not right away. Treating low-risk prostate cancer may be unnecessary, as some of these cancers grow so slowly that they will never cause problems during a man’s lifetime. Unlike many other cancers, prostate cancer is usually slow-growing. For most men, this slow growth means they have time to learn all they can before deciding whether to have treatment or which treatment to have.

The images and/or videos are not presented as a guarantee of result. The results may vary. Patients gave their consent for the publication of images and/or videos.


At Steinberg Urology we pride ourselves on our compassionate care we offer to those facing challenges that affect their quality of life. Our urologists have years of experience and a commitment to excellence.

If you need to discuss this sensitive medical concern, schedule a consultation at our clinic in a safe confidential environment. Let us help you achieve optimal health and wellness in a professional setting.


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