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 Siouxland Urology will work together to track the growth of your cancer rather than proceeding to radiation or surgery.

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.

cancerous cells in a male body attacking the reproductive system


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.

See Siouxland Urology for questions concerning your treatment plan, or if you are having any symptoms of prostate cancer.

As always, if you have any further questions, please call (605) 217-7000 or request an appointment online today.

COVID-19 Updates

Beginning on 5/26, our office will be making a few changes for precautions against COVID-19:

We will still be strictly following CDC guidelines to always keep our patients safe.


Other patients can be seen with Telehealth services. This service allows patients to be seen via an internet connection. The connection will require a camera, which is a common feature on your computer, phone, laptop, or tablet. Please call our office if you would like to make a telehealth appointment at (605) 217-7000

For patients that call for a telehealth appointment, we will verify that your insurance will cover the visit, and then set a time for you to log into Once you are into this website, you will need to select the name of your provider. This will place you in a wait area, where the provider will join you for your session.

For more information about our Telehealth services, click here.

website logo