With thanks to Emma Craske, Senior Specialist Nurse, Prostate Cancer UK 

Prostate problems are common, particularly in men aged over 50. 

The prostate is a small gland found only in men and AMAB (assigned male at birth). It surrounds the tube that carries urine out of the body (urethra). 

The prostate gland is about the size and shape of a walnut but tends to get bigger as you get older. It can sometimes become swollen or enlarged by conditions such as: 

• prostate enlargement 

• prostatitis (inflammation or infection of the prostate) 

• prostate cancerhttps://www.nhs.uk/conditions/prostate-cancer/ 

[Crown copyright: Information from NHS website date 17.1.25] 

Effect on road safety 

Prostate problems can make an individual feel the need to urinate often and with urgency, which can be problematic when out on the road. 

They may also have disturbed sleep due to the need to pee during the night. 

Some people with prostate problems have stress incontinence – accidental leakages of urine on coughing or sneezing – which can be embarrassing. 

Prostate cancer treatments can cause leakage of urine, and some men may need easy access to toilets to change pads. 

These issues may be distracting, or cause your driver anxiety, as well as potential discomfort.  

Sitting down for long periods can put pressure on the prostate. 

Early prostate cancer doesn't usually cause any symptoms, so men are encouraged to understand their risk (see below). 

Any man (or AMAB) with urinary symptoms should be encouraged to talk to their GP if they haven't done so. Some men put up with symptoms thinking they're part of the aging process, when treatment may be available that could improve their quality of life 

Some prostate cancers are watched, rather than treated, but this can still cause anxiety and worry. 

What employers can do 

Educate men and AMAB about the benefits of understanding their risk of prostate cancer. Prostate Cancer UK have a quick risk checker if they want to know more about their risk and understand more about PSA blood testing. 

Make reasonable adjustments for someone suffering from prostate issues. They may need more breaks, or to do less driving time, or drive more local routes so they can be sure of having access to toilet facilities.  

Resources 

You can find out about PSA testing for the over 50s at PSA test – NHS 

Toilet Cards are available for men with prostate problems. This is a wallet-sized card for men with prostate problems, who may need urgent access to a toilet. It does not guarantee access but may make it easier to ask for help. 

Radar keys allow access to locked disabled toilets and are available from a number of sources for a small charge.  

Anyone worried about prostate cancer, or another prostate problem, can contact the Risk Information Officer or Specialist nurses on 0800 074 8383. Calls from UK phones are free and the service is open Monday to Friday 9am to 5pm, except for Wednesdays when the service is open from 10am to 5pm.