[hlehmann]

I was diagnosed with prostate cancer when I was about 57. I had had somewhat regular "finger up the butt" exams prior to that, since I was about 45, which were all negative. Then a PSA blood test test came back positive and I then had a biopsy done (no fun, trust me). Because I was still in my 50's I needed to do something beyond just continuing to monitor it. Between radiation treatment and a prostatectomy I chose the latter. Eight years or so later my PSA tests are still negative, knock on wood. Lesson learned, I think, is to get a simple PSA blood test done regularly once you've reached a certain age.

[haldujai]

I don't think you can conclude that from one patient, that's not how medicine works.

Whether to actively surveil vs treat depends on individual patient characteristics and grade (generally Gleason 7+) and the fact that you didn't have a complication does not mean they're not sufficiently high. On a population level analysis the evidence clearly support that there is no improved mortality with prostate cancer screening.