It has now been over a year since my husband had Prostate Cancer Surgery. It has been a wild ride. We really wanted to get a message out to people our age – 60 plus. Prostate cancer affects approximately one in eight men. When prostate cancer is diagnosed early and is contained in the prostate, it has one of the highest cancer survival rates.

Below are the facts on Prostate Cancer. This was taken directly from the September 2024 Northwestern Health Beat written by Dr. Edward M. Schaeffer, MD, PhD. Dr. Schaeffer was my husband’s surgeon.

6 Facts About Prostate Cancer

Prostate cancer can be detected early through blood tests screening for prostate-specific antigen (PSA), a type of protein found in the prostate. The first step is to have an open dialogue with your clinician to see if prostate cancer screening is appropriate.

“Although prostate cancer is the most common cancer in men, there are great ways to detect it at a curable stage. When to begin screening depends on your risk of prostate cancer, which is influenced by a combination of factors including age, family history, race and lifestyle,” says Edward M. Schaeffer, MD, PhD, urologic oncologist and chair of the Department of Urology at Northwestern Medicine. “I encourage all men to discuss the test with their doctor to develop a screening plan tailored to their individual risk.”

Here are key facts.

Fact No. 1: Prostate cancer can affect men of all ages.

Although risk increases after age 65 or older, more than 35% of those diagnosed each year are diagnosed at an earlier age. Screening for a man at average risk of developing prostate cancer is recommended to begin between the ages of 50 and 55 years. All men should be aware of their risks and, if it runs in their family or if you are of African ancestry, screening should begin around the age of 40 years.

Fact No. 2: Prostate cancer is associated with other cancers.

Research shows that hereditary (or familial) prostate cancer is not only associated with prostate cancer in first degree relatives but also breast cancer, ovarian cancer and pancreatic cancer. “Individuals with a strong history of breast cancer, ovarian cancer and occasionally pancreatic cancer can have genes that increase their risk for developing prostate cancer,” says Dr. Schaeffer. 

Fact No. 3: Prostate cancer is not just hereditary.

Men who have a brother or father with prostate cancer are two times as likely to develop the disease. Even so, most prostate cancers occur in men without a family history of it. Other important risk factors include your age, race, physical health and lifestyle.

Fact No. 4: Prostate cancer doesn’t always have symptoms.

Especially in its early stages. Not all men experience symptoms, or symptoms can be mistaken for something else. This makes it important for men to have regular check-ups.

Symptoms may include:

• Frequent urination
• Difficulty urinating
• Erectile dysfunction
• Blood in your urine or semen
• Painful or burning urination
• Pelvic pain

Fact No. 5: The PSA test doesn’t just look for cancer.

The PSA (prostate-specific antigen) test measures the amount of PSA in your blood. PSA is a protein produced by cells of the prostate gland. High levels can indicate inflammation, infection or cancer in the prostate. A prostate biopsy is needed to confirm cancer.

Fact No. 6: Impotence and urinary incontinence are not inevitable side effects

It is true that men may experience erectile dysfunction or urinary incontinence (loss of bladder control) immediately after surgery or radiation. However, the risk of these side effects depends on several factors, including the type of prostate cancer treatment, your overall health and the extent of the cancer. Most men will see an improvement within one year.

For our story, my husband’s PSA was only slightly elevated, and his doctors monitored him for over a year. He had no physical symptoms. We then went on to complete more extensive testing including an MRI of the prostate and then a biopsy. The MRI showed the cancer in the prostate. The biopsy provided the aggressiveness of the cancer based on a Gleason Score. My husband’s cancer was aggressive and beginning to try to leave the prostate. That is why we opted for prostate surgery to remove the entire prostate.

There are other treatments including radiation combined with hormone therapy as well as SEEDS, or a type of local radiation injected into the prostate. We met with both the surgeon and the radiologist to determine the best course of treatment. You will want to talk to your doctor and ask a lot of questions before making your final decision.

As I mentioned, it has been over a year since surgery. It is not an easy road. To combat incontinence, doing Kegel exercises or meeting with a physical therapist that can help with pelvic floor exercises is essential. The other side affect is ED. We know one friend that was back in the saddle in two weeks. Some take months. And some need a little extra help. We are learning there are a lot of options to improve that part of life as well. Don’t get discouraged. We have also learned there is a Facebook group that is private, and men can join to get answers to questions regarding this entire process. We did not join that Facebook group.

In closing – Prostate Cancer is one of the most curable cancers if caught early. Make sure to have the PSA test at your annual physical, especially starting at age 40 if you have a family history of the disease. Subscribe or comment below. I’m always looking for feedback and to see if this was helpful.