“Out of 50,000 radical prostatectomies performed every year in the United States alone,” Dr. Scholz writes, “more than 40,000 are unnecessary.
Even assuming this is correct, I still would have the surgery.
How would I be certain before the surgery if I am one of the 80% where the surgery was unneccesary or I am one of the 20% who would eventually get an advanced if it wasn't treated soon after diagnosis.
I have read too many times patients going into surgery a 3+4 and finding out after the prostate is sliced and diced that that were a 4+3 with more tissue involvement than expected.
Yes, overtreatment is a problem, but the big problem is not yet being able to accurately diagnosis the severity of the PCa prior to treatment