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Thank you all for your responses. Pretty clear it is important to stay positive and on top of post procedure PSA tests so if it returns it is caught early.

With the general average age of diagnosis being around 70 years, with a 10-15 year lifespan post diagnosis/treatment looks pretty good. But, as a 57 year old (me) 10-15 years (gulp) puts me at 67 to 72... With my numbers that has me thinking a bit like there is a greater likelihood of something popping up in my late 60's or early 70's. But, as some of you had indicated, live each day to the fullest and focus on that and I believe it is sound advice.

I will continue to check in here as my surgery is in one month (Happy Fourth of July to me LOL). I will probably spend my holiday observing first-hand all the wonders of a catheter while making sure the potato salad doesn't sit in the sun too long 😉

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Replies to "Thank you all for your responses. Pretty clear it is important to stay positive and on..."

@thig350
I was diagnosed at 62 with 4+3 after surgery. I have BRCA2, which makes it much more aggressive. I’ve had four reoccurrences, Salvage radiation and a few different drugs.

I’m still here at 78 and undetectable for the last 31 months.

If you did not have large cribriform Then it’s not a major factor.

At this point, you just have to live long enough for the next breakthrough in drugs, which is going to happen in the next five years. The current drugs and treatments will keep you going into your 70s. By then they might cure prostate cancer.

The future is brighter than you think.

@thig350 In 2021, with my cancer already metastasic, they told me I had 18–24 months until castrate-resistance and escalation of treatment, and 3–5 years total survival (but maybe I'd be extremely lucky and live up to 7 years, since I was only 56 and otherwise healthy).

So it's 2026 now, and my health is much better than it was in 2021/22. I tolerate the ADT + Apalutamide well, and they still keep my cancer undetectable. There has been no treatment escalation, and obviously, I'm still here to type this reply.

YMMV, but just ignore any survival stats, because they're mostly based on outdated data in a fast-changing field.