Prostate Cancer - Self Assessment | Mens Clinic International

Prostate Cancer – Self Assessment

Men over the age of 40 are at a higher risk of developing prostate cancer. Prostate cancer is highly treatable if detected early. This questionnaire is designed to help you and your physician identify whether you are currently showing any signs of prostate cancer problems. This questionnaire does not replace regular visits to your doctor for prostate cancer screening but merely lists factors, which could be indicative of prostate problems.

Each question has several responses from which you are asked to choose the one that best describes your own situation. Please be sure that you select only one response per question.

Please ensure all information is completed correctly in order for us to respond to your assessment promptly.

Self Assessment - Prostate Cancer

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Over the past six months:

QUESTION 01:
Over the past month or so, how often have you had a sensation of not emptying your bladder completely after you finished urinating? *

QUESTION 02:
Over the past month or so, how often have you had to urinate again less than two hours after you finished urinating? *

QUESTION 03:
Over the past month or so, how often have you found that you stopped and started again several times when you urinated? *

QUESTION 04:
Over the past month or so, how often have you found it difficult to postpone urination? *

QUESTION 05:
Over the past month or so, how often have you had a weak urinary stream? *

QUESTION 06:
Over the past month or so, how often have you had to push or strain to begin urination? *

QUESTION 07:
Over the last month, how many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning? *

Submit your self assessment form to the Mens Clinic International Doctor for evaluation:

If you are human, leave this field blank.

Mens Clinic International deals with any sexual problems that are related to Weak Erections, Early Ejaculation, Low Libido, STIs or Circumcision. Do get in touch with us to book a consultation with our professional doctors who specialise in Men’s Sexual Health.

Contact us 0860 362 867 / +27 11 523 5100 now to find out more about Mens Clinic prices and the effects of prostate cancer. Or click here to book an appointment with one of our friendly doctors in your area.

To read more about prostate cancer, click here.

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