[…] stage, the illness causes incontinence, nocturia, hematuria, hematospermia, painful ejaculation, suprapubic and perineal pain, impotence, rectal tenesmus, and sometimes anuria
Loin pain or anuria due to ureteric obstruction by lymph nodes. Lethargy (anaemia, uraemia). Weight loss, cachexia.
Obstruction of ureters, causing loin pain, anuria, symptoms of acute kidney injury or chronic kidney disease. Impotence. Rectal symptoms - eg, tenesmus.