A recent storyline in the TV series And Just Like That has brought prostate cancer into the spotlight. In the June 26 episode, Harry confides in Charlotte that he’s been diagnosed with the disease, revealing past incidents like wetting himself at a club and having issues in the bedroom as early signs. While the show’s intention to raise awareness is commendable, medical experts point out that such dramatic symptoms are not typically how prostate cancer presents itself—especially in its early stages.According to Dr. Mark Pomerantz, clinical director at Dana-Farber Cancer Institute, the symptoms portrayed on the show are more likely to result from prostate cancer treatments rather than the cancer itself. In most real-life cases, prostate cancer is detected through routine health screenings, not by noticeable signs. This is why regular checkups are so important—because by the time symptoms like urinary incontinence or sexual dysfunction appear, the cancer may already be in a more advanced stage.
Understanding Prostate Cancer and Its Impact
Prostate cancer begins when cells in the prostate—a small gland in the male reproductive system—start growing uncontrollably. This gland, located just below the bladder and in front of the rectum, plays a crucial role in producing seminal fluid and regulating urine flow. Despite its small size, problems with the prostate can have significant health consequences.
The disease is the second most commonly diagnosed cancer among men in the United States, following skin cancer. While it’s rare in younger men, the risk increases dramatically after the age of 50. In fact, about 60% of cases are found in men aged 65 and older.
High-Risk GroupsSome men are more at risk than others. Black men, for example, face significantly higher rates of both diagnosis and death from prostate cancer. They are nearly twice as likely to be diagnosed and more than twice as likely to die from it compared to white men. Family history also plays a key role—those with close relatives who’ve had prostate cancer should begin screening earlier. Additionally, certain genetic mutations, such as BRCA1 and BRCA2, may raise the likelihood of developing the disease.
Other possible risk factors include poor diet, obesity, smoking, sexually transmitted infections, and exposure to harmful chemicals, though research on these areas is still ongoing.
Signs to Watch For
Prostate cancer usually doesn’t cause symptoms in its early stages. However, as it progresses, some men may experience:
Difficulty starting urination
Increased frequency of urination, especially at night
A burning sensation while urinating
Blood in urine or semen
If the cancer spreads to other areas like bones or lymph nodes, more severe symptoms may appear, such as bone pain, fatigue, weight loss, and swelling in the lower body.
The good news is that if prostate cancer is detected while it’s still localized or has only spread slightly, the five-year survival rate is nearly 100%. However, if it reaches distant organs, that rate drops sharply to around 28%. This stark contrast highlights why routine screening is so vital.
A simple PSA (prostate-specific antigen) blood test can detect prostate cancer in its early stages. Health experts recommend that most men start screening at age 50. However, men who are at higher risk—including Black men and those with a family history—should begin testing as early as age 40.
Dr. David Shusterman, a prominent urologist, emphasizes the ease and importance of screening: “In the time it takes to check your phone, your provider can perform a screening that could make a significant difference to your future health.”
Takeaway
While fictional portrayals like those in And Just Like That can help initiate important conversations, they don't always reflect medical reality. Prostate cancer often develops without noticeable symptoms, making regular screening the best line of defense. Early detection not only improves treatment outcomes but can also save lives. If you're a man over 40—or know someone who is—make prostate health a priority. A simple blood test could make all the difference.
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