I, too, was feeling healthy, without a single symptom that would give a clue of prostare cancer, and had negative DRE exams by both my family physician and urologist. To take things a bit further, my PSA blood test (2.5 ng/mL) was well within the normal range, but had spiked from the 0.6 ng/mL baseline the year before.
When we decided to do a prostate biopsy I was advised that there was a 10 to 20% chance that it was cancer. I wouldn't wish prostate cancer on any man but if you have it, it's good to find out asap, when a cure is possible. When symptoms are present it may already have spread.
On the bright side, I am already returning to normal functions only two months after surgery. Continence is good, though not perfect and the first stirrings of return to sexual function are evident.
Age 57 PSA 2.5 Gleason 5 Open Radical Retropubic Prostatectomy/Bilateral Nerve-sparing 6/21/06 Cancer confined to prostate No further treatment