call your doctor immediately if you: are completely unable to urinate. have painful urination and a fever higher than chills or body aches. have blood or pus in your urine or semen. call your doctor to schedule an appointment if you have unexplained: weight loss. dull aching pain in your lower back pelvis or hips. swollen lymph nodes in the groin area. these nodes are usually not tender. watchful waiting watchful waiting means that you are not receiving treatment but you and your doctor will watch your cancer to see if your symptoms go away on their own or get worse. watchful waiting may not be a choice when prostate cancer has spread. but some men who have metastatic prostate cancer may choose watchful waiting if their psa levels are rising slowly. if you choose watchful waiting you will still need to see your doctor regularly for digital rectal exams and psa tests. who to see doctors who can treat locally advanced and metastatic prostate cancer include: urologists. radiation oncologists. medical oncologists. to prepare for your appointment see the topic making the most of your appointment. webmd medical reference from healthwise this information is not intended to replace the advice of a doctor. healthwise disclaims any liability for the decisions you make based on this information. © 1995-2011 healthwise incorporated. healthwise healthwise for every health decision and the healthwise logo are trademarks of healthwise incorporated.
i have or think i have prostate cancer advanced or metastatic when should i contact my doctor?