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Where are all the people on Active Surveillance (AS)?
Prostate Cancer | Last Active: Oct 26, 2025 | Replies (59)Comment receiving replies
@rlpostrp I cant disagree. Exactly what I did. Dr suggested AS on a gleason 6 3+3. I laughed at him and said thats not going to happen. Will insurance pay to take it out and he said sure. The one issue missing in your comment was the mental. My state of mind would have made me sick knowing it was in there growing. I would have gone to emergency for everything. Just knowing I was about to die. I rolled the dice on ED and incontinence. I got them both. but cancer free for 6 years, still healthy, No medications. every 6 month PSA with my blood work. Trimix fixes ED. I wear a clip or a bag for incontinence. I just cant wear shorts .
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@tuckerp
Your state of mind, after being newly diagnosis with PCa, is quite common.
Studies have shown that as many as 30% of men who choose AS have anxiety about their decision during their first year in AS….and these are from the group of folks who decided AGAINST immediate treatment!
Those admitting anxiety tends to drop by year two; but as many as 13% drop out of AS, before 5 years, without any clear evidence of progression…presumably anxiety is playing a role.
In fact, only 28% of those who drop out of AS, within 5 years, are due to signs of disease progression.
The “mental” part of dealing with PCa is real and its impact is clearly seen in the statistics!
https://pmc.ncbi.nlm.nih.gov/articles/PMC8542419/
All the best!