Prostatic cancer is one of the commonest forms of malignancies. If detected in time ,it also carries perhaps the best prognosis. However I have observed that in India, very few cases ever come to the attention of urologists in time. The main reason in my experience is that the initial presenting symptoms or promdromal symptoms rarely suggest a urological malfunction. By the time the clinical picture indicates urological attention, metastases are frequently widespread which is a real pity.
One of the common camouflaging symptoms is erectile impotence in a person over 50. It is not unusual to come across individuals seeking psychiatric and psychological attention once they discover problems in maintaining satisfactory sexual relationship. Given the sensitivity of the situation ,they find it difficult to share this with their partners. Once the diagnosis is made, they go to enormous…
