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How Does Prostate Cancer Spread?

How does prostate cancer spread? One way this occurs is when early treatments for prostate cancer don’t work, allowing cancer to spread, usually slowly. The cancer cells sometimes survive inside the prostate gland and can spread further to other areas of the body.

What Determines Treatment For Prostate Cancer

If prostate cancer is detected, treatment might not be recommended right away. This is because the prostate cancer cells normally grow so slowly. In this case you might be a candidate for “active surveillance.” This means that you and Dr. Steven Gange will work together to track the growth of your cancer rather than proceeding to radiation or surgery.

prostate cancer cells attacking the reproductive system

Tests will be conducted periodically to watch the growth. This is an effective plan if there are no symptoms and as long as the cancer continues to grow slowly.

Watchful Waiting

Another treatment plan is one where you do the same thing as active surveillance except there are no periodic tests. This is a good option for those who don’t want treatment or can’t physically endure treatments due to other issues.

Of course, this can be risky since the cancer may grow and you wouldn’t necessarily know. In some cases, it could be too late to have treatment.


When prostate cancer cells spread to other areas of the body, this is known as metastasis. The truth is, prostate cancer can spread anywhere in the body. Metastatic prostate cancer is known as stage 4. It can stay localized in the pelvic region or it can spread elsewhere.

It commonly spreads to the lymph nodes, bones, liver, brain, and lungs.

Cancer is always named by the place it began, so even when it spreads to another organ, it is still called prostate cancer.

Signs Of Prostate Cancer

Although prostate cancer is slow growing and can take years for symptoms to appear, men should be periodically checked with a PSA test.

Signs of prostate cancer include trouble urinating, blood in the urine, difficulty getting an erection, and pain in the back, hips, ribs, or other bones.

If a diagnosis is made, treatment will be determined by your age, any other medical issues you may have, the prognosis (what stage is the cancer), and your feelings about the side effects.

Contact Dr. Steven Gange at (801) 993-1800, or request a visit online, for questions concerning your treatment plan, or if you are having any symptoms of prostate cancer.



I have seen Dr. Gange for a number of years and developed the typical symptoms associated with an enlarged prostate. During my annual urologist visit, Dr. Gange laid out my options. After doing some personal research, I elected to have the Urolift procedure performed by Dr. Gange on an outpatient basis.

The procedure was uncomfortable but not particularly painful compared to other surgeries I have had. Recovery was relatively quick and I was back at work after two days of rest.

I did experience some significant discomfort associated with urination but was counseled that I was not drinking enough water. Once I increased my consumption of water, most of the discomfort went away and I was back to normal after about two weeks.

In the wake of the surgery, the urgency to urinate has gone away. The interval between trips to the bathroom has lengthened significantly such that I usually get up to urinate only once each night and sometimes not at all.

Having talked with others who have had more drastic prostate surgery, I feel that the Urolift procedure was much less stressful and the results were as hoped for.