I had a similar journey although my prostate cancer was detected at age 42 by my family doctor during a routine finger-in-the-butt test at my annual physical. H

I had a similar journey although my prostate cancer was detected at age 42 by my family doctor during a routine finger-in-the-butt test at my annual physical. He thought it was “diffusely enlarged”, then PSA test (high), then biopsy (ouch!) revealed a 4+3 Gleason. Like the author I had a radical prostatectomy but not robotically assisted. Like everyone in our situation I was scared of the two I’s — incontinence and impotence. Luckily no sign of either one, 8 years out the plumbing is working fine. The annual follow PSA screening is a bit scary, so far it’s always come back 0 but if there’s any PSA it’s going to be bad news. All in all I’d recommend PC as a starter cancer — pretty treatable if detected early on and if you have a skilled surgeon you can come out of it fully functional. Age is a big factor, if you’re in your seventies it’s probably best to just watch it, for us young outliers it’s good to get it out.