In the locally invasive stage, the illness causes incontinence, nocturia, hematuria, hematospermia, painful ejaculation, suprapubic and perineal pain, impotence, rectal tenesmus
[symptoma.com]
These symptoms include burning or pain during urination, loss of bladder control, painful ejaculation, and swelling in legs or pelvic area.
[cancercenter.com]
[…] or burning urination Difficulty in having an erection A decrease in the amount of fluid ejaculated Painful ejaculation Blood in the urine or semen Pressure or pain in the
[pcf.org]