What is the average age of the gentlemen on here?

That advice is so 20th century. We've all heard the same "60 is the new 50" or the equivalent. As a medical student in the 1970s, that was the rule of thumb for surgery. Now with improved surgical techniques and equipment, more careful anesthesia, early ambulation, and, most important, older people who take good care of their bodies, that is no longer the standard practice.

I'm sure there are a lot of folks on this forum who, like me, had RP in their mid-70s and did not have increased side effects or prolonged incontinence, same as those 1-2 decades younger.

More important to surgical recovery are body weight and co-morbidities, as well as willingness and ability to do the months-long rehab required. Oh, and an experienced, confident surgeon...

Yes. I received similar information.. I'm 77.

My urologist (and second opinion doc) said that having prostatectomy after 70 years old is not recommended. They said that the odds of life long urinary leakage is much greater if done after 70. They said that you can find urologists who will do this surgery after 70 but much higher urinary problems can occur. Any one else get this advice?

64

My doctor would like to remove my prostate, Iam just waiting for the CT Scan and Bone scan results to determine if there are any other concerns. Meeting with him in a couple of days.

PSA started going up quickly when I was at mid-74. Prostatectomy when I had just turned 75 (Jan 2022). Then Lupron for two years. Now 77 and negligible PSA. I think that's the value of rapid action for PC.
Good luck and thoughtful, rapid action at whatever stage you are in.
GranPun

I was diagnosed de novo stage 4 bone only July 27, 2022. My birthday. I will be turning 62 this July 27th, my 2nd year cancer anniversary. I've heard of men being diagnosed in their 40's. Being diagnosed at 57 is not uncommon. My advise is do not read the statistics on the internet. It is old data based on SEERS. SEERS data is mostly men who only received ADT regardless of their age and stage of PC. PC for each individual is different. It reacts differently in treatment. The mutations are different for each person. If you have stage 1 prostate cancer, you have hope for cure. If it is stage 4, and oligo metastatic, you are still curative. It high volume stage 4, the medical advances today will allow you to live a long time with this disease.

Following PSA and followup MR. Aside from that, plan to follow advice of my surgeon and my oncologist for next steps. With all that, have to consider my anxiety level and state of mind. Anxiety level very low; state of mind very good. Current thought about leaning toward surgery is simply personal preference after studying alternatives and after talking to others with positive results from surgery; and, not wanting to watch and wait "too long". I agree with mcw2023. We are all different.

@wsartor, what are the criteria for you and your team to move from active surveillance to surgery?

Hi @mikesarnia, this is all so new for you. What treatment options are you and your team considering?