As Prostate Cancer Awareness Month unfolds, it’s a great time to separate fact from fiction when it comes to this disease. Experts at Houston Methodist West Hospital are dedicated to clarifying some of the most prevalent myths about prostate cancer, ensuring that men are well-informed about their health, and the staff provided some tips to the Katy Times. Wesley Ekeruo, M.D., a leading urologist at Houston Methodist West, shares his expertise to help clear up some of these misconceptions.

Myth 1: Prostate cancer affects only older men

Many people believe that prostate cancer only affects older men, but that’s not the whole story. “While the risk increases with age, we’re seeing more cases in men in their 50’s and even 40’s,” Dr. Ekeruo said. “It is crucial for men to start discussing prostate health with their doctors around age 50, or earlier if there’s a family history of the disease.” Prostate cancer doesn’t discriminate by age, so early conversations and screenings are crucial, he added.

Myth 2: If you have prostate cancer, you’ll definitely notice symptoms

It’s a common misconception that prostate cancer will always present with noticeable symptoms like pain or urinary issues. “In reality, many men with early-stage prostate cancer have no symptoms at all,” Dr. Ekeruo said. “This is why routine screenings are so important—they help detect the disease before it causes noticeable problems.”

Myth 3: PSA screening is dangerous or ineffective

The prostate-specific antigen (PSA) test is often misunderstood and sometimes avoided due to fears or misconceptions, he said. “The PSA test isn’t perfect, but it’s a valuable tool for early detection of prostate cancer,” Dr. Ekeruo said. “Higher PSA levels don’t automatically mean cancer, but they do signal that further investigation is needed. Skipping screening based on myths can lead to missed opportunities for early treatment.”

Myth 4: Treatment for prostate cancer always leads to severe side effects

Concerns about side effects from prostate cancer treatments are valid, but advancements have made significant strides, said the physician. “Newer treatment methods, such as robotic-assisted surgery and targeted radiation, have greatly improved outcomes and reduced side effects,” Dr. Ekeruo noted. “Early detection means we have more treatment options, many of which allow patients to maintain a good quality of life.”

Myth 5: A prostate cancer diagnosis means immediate, aggressive treatment

Not every case of prostate cancer requires immediate treatment. “For some slow-growing cancers, active surveillance is the best approach,” Dr. Ekeruo said. “We monitor the cancer closely with regular tests and proceed with treatment only if necessary. This strategy helps many men avoid unnecessary procedures and remain healthy.”

Dr. Ekeruo underscores the importance of staying informed and proactive about prostate health. Debunking these myths is essential to encouraging more men to get screened and stay on top of their health. Understanding the facts can make a significant difference in managing prostate cancer effectively.

For more information on prostate cancer or to schedule an appointment at Houston Methodist West, visit the hospital website at houstonmethodist.org/spg/urology/katy/or call 832.522.8300.