<s>[INST] im 26, 6 0 , 260lbs. i have a sharp pain in my perinium everytime i have a bowel movement . this has been happening for about 5 years now. i have not been to the dr about it. i also have a hard time urinating. i cant get it all out at once. it goes and stops and goes and stops. i dont know if these two things are connected. prostate cancer runs in my family, are these some of the symptoms? what could this be? [/INST] Hi, I don't think any cancer can persist without progression for five years. You must see urologist for your urinary problem and pain. You should not neglect the problem till it becomes not treatable. Take care. </s>