{"id":4576,"date":"2022-01-07T08:00:00","date_gmt":"2022-01-07T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=4576"},"modified":"2026-08-25T23:11:20","modified_gmt":"2026-08-25T16:11:20","slug":"prevention-du-cancer-de-la-prostate","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/fr\/2022\/01\/07\/prostate-cancer-prevention\/","title":{"rendered":"Prostate Cancer Prevention: What the Evidence Supports, and What It Does Not"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 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1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Men ask this constantly, and the honest answer is less satisfying than most articles make it sound. Almost everything published about diet and prostate cancer comes from observational studies \u2014 watching what people eat and seeing who later develops disease. That kind of evidence is useful for generating ideas and poor at proving them, which is why the advice keeps changing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">An earlier version of this article presented all of it as <em>evidence-based prevention<\/em>, with percentages, serving counts and milligram thresholds. It has been rewritten and sorted by how much confidence each item actually deserves. Two recommendations have been withdrawn entirely.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">First: what cannot be changed<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">These matter more than anything in the diet section, and the earlier version gave them a single clause in passing.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Age<\/strong>, by a wide margin the strongest factor.<\/li>\n\n\n\n<li><strong>Ethnicity<\/strong> \u2014 incidence and aggressiveness differ substantially between populations.<\/li>\n\n\n\n<li><strong>Family history<\/strong>, particularly a father or brother affected, and more so if they were diagnosed young.<\/li>\n\n\n\n<li><strong>Inherited genetic changes<\/strong>, of which <strong>BRCA2<\/strong> is the most important. It raises the risk of prostate cancer and of a more aggressive form, and it runs in families alongside breast and ovarian cancer. This is genuinely actionable: it changes when screening should start and how closely a man is followed, and it is worth raising if there is a pattern of cancer in your family. It was absent from the earlier version altogether.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Nothing in the rest of this article outweighs these. A man with a strong family history who eats well is still a man with a strong family history.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Reasonably well supported<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Not smoking.<\/strong> Smoking has not been convincingly shown to cause prostate cancer in the first place \u2014 but in men who already have it, <strong>the risk of dying of it is roughly doubled in smokers.<\/strong> That makes stopping one of the most worthwhile things on this page, and it acts on heart disease and lung cancer at the same time.<\/li>\n\n\n\n<li><strong>Keeping weight down.<\/strong> Obesity is associated with more aggressive disease and with worse outcomes after treatment, and it also lowers testosterone, worsens metabolic health and complicates surgery. The link to simply developing prostate cancer is weaker than the link to developing the dangerous kind.<\/li>\n\n\n\n<li><strong>Limiting alcohol.<\/strong> Heavy drinking is associated with higher risk. The earlier version quoted a 5% increase per daily drink and 21% at four drinks; those figures are removed here, because relative increases of that size from observational data carry more precision than they deserve. The direction is reliable enough to act on; the decimal places are not.<\/li>\n\n\n\n<li><strong>Physical activity.<\/strong> Worth doing on its own merits, and there is reasonable evidence it improves outcomes in men who already have prostate cancer. The earlier version called exercise <em>the easiest way to prevent prostate cancer<\/em>; the evidence that it prevents the disease occurring is considerably weaker than the evidence that it helps everything else, including how well men tolerate treatment.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"4597\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2022\/01\/07\/prostate-cancer-prevention\/silhouette-of-man-running-sprinting-on-road-fit-male-fitness-runner-during-outdoor-workout-with-sunset-background-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Exercise.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;4&quot;,&quot;credit&quot;:&quot;Panumas Yanuthai&quot;,&quot;camera&quot;:&quot;Canon EOS 6D&quot;,&quot;caption&quot;:&quot;Silhouette of man running sprinting on road. Fit male fitness runner during outdoor workout with sunset background&quot;,&quot;created_timestamp&quot;:&quot;1548611829&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;70&quot;,&quot;iso&quot;:&quot;400&quot;,&quot;shutter_speed&quot;:&quot;0.00125&quot;,&quot;title&quot;:&quot;Silhouette of man running sprinting on road. Fit male fitness runner during outdoor workout with sunset background&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Exercise is the easiest way in prostate cancer prevention.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Exercise is the easiest way in prostate cancer prevention.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Exercise.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Exercise.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Man exercising outdoors, an activity with good evidence for outcomes in men with prostate cancer\" class=\"wp-image-4597\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Exercise.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Exercise.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Exercise.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Exercise.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Exercise.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Exercise has better evidence for how men fare with prostate cancer than for preventing it in the first place.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Plausible, unproven, and harmless to follow<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">These come from observational studies. Eating this way is good for you regardless, which is the main reason to do it \u2014 not the prostate claim attached.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Less red and processed meat, and less saturated animal fat.<\/strong> The earlier version specified more than five servings of cooked meat a week as the threshold; that number came from a particular study rather than from anything established.<\/li>\n\n\n\n<li><strong>Cruciferous vegetables<\/strong> \u2014 broccoli, cauliflower, cabbage, Brussels sprouts.<\/li>\n\n\n\n<li><strong>Soy and green tea.<\/strong> Repeatedly associated with lower rates, never confirmed in a trial.<\/li>\n\n\n\n<li><strong>Coffee.<\/strong> Associated with a lower rate of aggressive disease in several studies. Not a reason to start drinking it, and not a reason to stop.<\/li>\n\n\n\n<li><strong>Very high calcium intake<\/strong> \u2014 mainly from supplements rather than food \u2014 is one of the more consistently reported dietary associations with higher risk.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"4595\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2022\/01\/07\/prostate-cancer-prevention\/broccoli\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Broccoli.jpg?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;Yeko Photo Studio&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Vegetable. Broccoli on the table&quot;,&quot;created_timestamp&quot;:&quot;1450778615&quot;,&quot;copyright&quot;:&quot;Yeko Photo Studio&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Broccoli&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Crucifers\u2019 vegetable reduce prostate cancer risk.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Crucifers\u2019 vegetable reduce prostate cancer risk.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Broccoli.jpg?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Broccoli.jpg?resize=800%2C800&#038;ssl=1\" alt=\"Broccoli and other cruciferous vegetables, associated with lower prostate cancer rates in observational studies\" class=\"wp-image-4595\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Broccoli.jpg?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Broccoli.jpg?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Broccoli.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Broccoli.jpg?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Broccoli.jpg?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Broccoli.jpg?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Broccoli.jpg?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Worth eating \u2014 though the evidence is the observational kind, and they are good food regardless.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Withdrawn: the supplement advice<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This is the most important change to the page.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Selenium<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The earlier version stated that high selenium intake gives a <strong>50 to 60% reduction in prostate cancer risk.<\/strong> That figure came from observational data \u2014 and it was then <strong>tested directly and failed.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The SELECT trial randomised more than 35,000 men to selenium, vitamin E, both, or placebo, precisely because the observational evidence looked so promising. <strong>Selenium prevented nothing. Vitamin E was associated with significantly more prostate cancer than placebo.<\/strong> It is the clearest demonstration in this entire field that a large apparent benefit in dietary studies can vanish, or reverse, when properly tested \u2014 and it is the reason a figure like 50 to 60% should never have been published as a recommendation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Do not take selenium or vitamin E supplements to prevent prostate cancer.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Lycopene and tomato sauce<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The earlier version recommended two to four servings of tomato sauce a week as a way to decrease risk. That has been withdrawn for two reasons: the lycopene evidence is observational and has never been confirmed in a trial, and processed sauces carry a sugar load that works against the weight advice given above. Tomatoes are good food; cooking them at home with olive oil gives the same absorption benefit without the trade-off. This is set out in full under <a href=\"https:\/\/drsoaraweeurology.com\/2023\/01\/30\/lycopene-prevent-prostate-cancer\/\">what the evidence on lycopene really supports<\/a>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Vitamin D<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Deficiency has been associated with higher risk, but supplementing to prevent prostate cancer is not supported. Correcting a genuine deficiency is worth doing for other reasons, particularly for bone health.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The general rule this page now follows: <strong>food, yes; capsules, no.<\/strong> Supplements are not concentrated versions of the foods they came from, and in this field the one that was properly tested caused harm.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"4598\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2022\/01\/07\/prostate-cancer-prevention\/raw-fresh-beef\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Red-meat.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;4&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;ILCE-7RM2&quot;,&quot;caption&quot;:&quot;Raw fresh beef&quot;,&quot;created_timestamp&quot;:&quot;1457619990&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;68&quot;,&quot;iso&quot;:&quot;200&quot;,&quot;shutter_speed&quot;:&quot;0.04&quot;,&quot;title&quot;:&quot;Raw fresh beef&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Raw meat consumption increase risk of prostate cancer.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Raw meat consumption increase risk of prostate cancer.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Red-meat.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Red-meat.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Red meat, associated in observational studies with higher prostate cancer risk\" class=\"wp-image-4598\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Red-meat.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Red-meat.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Red-meat.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Red-meat.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Red-meat.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Less red and processed meat is reasonable advice \u2014 the specific weekly threshold previously given here was not.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">The thing prevention cannot do<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">No diet detects a cancer that is already there. Whether to have a PSA test is a separate decision, and one worth making deliberately rather than by default \u2014 see <a href=\"https:\/\/drsoaraweeurology.com\/2020\/05\/21\/psa-screening-test\/\">should I have a PSA test<\/a>, and, if you already have a raised result, <a href=\"https:\/\/drsoaraweeurology.com\/2021\/05\/07\/what-should-you-do-if-high-psa\/\">what a high PSA actually means<\/a>. For the wider dietary picture see <a href=\"https:\/\/drsoaraweeurology.com\/2020\/11\/20\/5-diets-against-prostate-cancer\/\">diet and prostate cancer<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms that need assessment rather than a change of diet<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Visible blood in the urine or semen.<\/li>\n\n\n\n<li>New bone pain in the back, hips or ribs, or unexplained weight loss.<\/li>\n\n\n\n<li>Inability to pass urine with a painful full bladder.<\/li>\n\n\n\n<li>New leg weakness or numbness, or loss of bladder or bowel control, in a man known to have prostate cancer \u2014 emergency assessment.<\/li>\n\n\n\n<li>A father or brother diagnosed with prostate cancer young, or a family pattern of breast, ovarian or pancreatic cancer \u2014 worth raising early rather than waiting for symptoms.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Prostate Cancer Prevention<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Should I take selenium to prevent prostate cancer?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No. An earlier version of this article quoted a 50 to 60% risk reduction from observational data. The SELECT trial then randomised more than 35,000 men and found selenium prevented nothing, while vitamin E was associated with significantly more prostate cancer than placebo. That recommendation has been withdrawn.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What actually has decent evidence behind it?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Not smoking, keeping weight down, limiting alcohol and staying active. None is dramatic and none is prostate-specific, and they act on heart disease at the same time \u2014 which is what will kill most men.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Does smoking cause prostate cancer?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The link to developing it is not convincing. The link to dying of it is: men with prostate cancer who smoke have roughly double the cancer-specific mortality. Stopping matters most after diagnosis, which is the opposite of what men usually assume.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How much do diet and lifestyle matter compared with family history?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Considerably less. Age, ethnicity, family history and inherited genetic changes such as BRCA2 outweigh everything in the dietary section. If close relatives were affected, particularly young, or if there is a family pattern of breast, ovarian or pancreatic cancer, that is worth discussing \u2014 it changes when screening should begin.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Should I eat tomato sauce for my prostate?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">This article previously recommended two to four servings a week, and that has been withdrawn. The lycopene evidence is observational and unconfirmed by trial, and commercial sauces carry a sugar load that works against the weight advice on this same page. Tomatoes cooked at home with olive oil are the sensible version.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Arranging a consultation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">For prostate risk assessment or a PSA discussion, Dr. Soarawee Weerasopone sees patients at <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Bangkok Hospital Headquarters<\/a> and at Samitivej Sriracha Hospital in Chonburi on <a href=\"tel:0880221445\">088-022-1445<\/a>. Bring any previous PSA results with their dates, and details of cancer in close relatives including the age at which they were diagnosed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Samitivej Sriracha is in-person only. Enquiries about cost are answered by the hospital, not by this website.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters, and is intended for education only. It is not medical advice, diagnosis or a prescription for any individual, and no advice, diagnosis or prescription is given through personal messaging channels or social media. Dr. Soarawee operates no public social media account; any account offering private consultation in his name is fraudulent. In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/01\/07\/prostate-cancer-prevention\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2022\/01\/07\/prostate-cancer-prevention\/\",\n      \"name\": \"Prostate Cancer Prevention: What the Evidence Supports, and What It Does Not\",\n      \"description\": \"Modifiable risk factors for prostate cancer sorted by strength of evidence, with the selenium and lycopene supplement recommendations withdrawn following randomised trial evidence.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2022-01-07\",\n      \"dateModified\": \"2026-08-25\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"audience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"disambiguatingDescription\": \"The earlier version presented observational nutritional epidemiology as evidence-based prevention with specific thresholds and percentages, and has been restructured by strength of evidence. 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The supplement advice this page used to give has been withdrawn \u2014 one of those recommendations was tested in a large trial and failed.<\/p>","protected":false},"author":185281453,"featured_media":10085,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Modifiable risk factors for prostate cancer sorted by strength of evidence. 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