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September is prostate cancer awareness month. Prostate cancer is the No. 1 cancer in men. There are 180,000 new cases in the United States each year. Prostate cancer is cancer than occurs in the prostate, a walnut-shaped gland in men that produces the seminal fluid that nourishes and transports sperm. It’s not clear what causes prostate cancer. Risk factors include your age, race, family history and whether you are obese. What are the signs and symptoms of prostate cancer? Early prostate cancer rarely has symptoms. A screening by your doctor may help identify prostate cancer when it is still localized to the prostate. Screenings can include a digital rectal exam or a PSA test, which involves a blood sample. More advanced prostate cancer symptoms can include trouble urinating, pelvic area pain, back pain or bone pain. What are common treatments for prostate cancer? For men diagnosed with low-risk prostate cancer, physicians may opt for active surveillance. Surgery to remove the prostate is also an option for prostate cancer patients, or they can receive radiation therapy. What is SpaceOAR? New to Middlesex Hospital Cancer Center, the SpaceOAR System both improves outcomes for prostate cancer patients and makes radiation treatment safer. Middlesex Hospital Cancer Center is able to offer this technology to patients at both its locations. Middlesex has Cancer Centers in Middletown and Westbrook. How does SpaceOAR work? The SpaceOAR System keeps radiation from impacting normal tissue and organs that do not need treatment. It uses an injectable gel, which is naturally eliminated from the body over time, to create a temporary space