Hope, The reason most men have surgery is because the diagnosing physician is a urologist, who is a surgeon. Usually, the patient is told that "you have cancer" and "I can cure you" in that same discussion. That, and only knowing that the usual method of treating cancer is "getting it out".
Most family and friends only know that option. They usually have no clue that prostate cancer is slow growing, has multiple cures, or, in many cases, does not require any treatment. As a result, many men are rushed into surgery and needlessly overtreated, suffering lifelong side effects.
Things are changing, very fast. In the Washington DC area, almost nobody did AS 10 years ago. Today, it is about
fifty percent of the men diagnosed as Gleason 6.
However, small practices lag way behind in recommending AS, compared to large practices and institutions. I suspect isolation, reluctance to change, and greed are factors in that statistic.
DOB: May 1944
In AS program at Johns Hopkins
Five biopsies from 2009 to 2014. The third and fourth biopsies were positive with one core and three cores <5% and G 3+3. Fifth biopsy was negative.
OncotypeDX: 86 percent chance of PCa remaining indolent
August 2015: tests are stable; no MRI or biopsy this year for my AS program
August 2016: MRI unchanged from 2/2014; PSA=3.9; FPSA= 26; PHI =28
Post Edited (ASAdvocate) : 10/4/2017 5:01:34 PM (GMT-6)