After all, those same experts proclaim PCa an old man's disease and then recommend doing nothing for men older than 75, which is the age range with the highest mortality rate prevalence. Prostate cancer treatments do more harm than good. This claim refers to well-known side effects of treatment. The numbers of patients who experience side effects can be high, depending on treatment choice and quality of care and on other factors such as the man's general health before treatment. But to say, treatment does more harm than good ignores what happens to those men whose cancer is not discovered at a curable stage.
Prostate cancer is a progressive disease.
So it is pay now or pay later. There is a marked difference in mortality when clinically significant prostate cancer goes untreated. Medical authorities in the USA have consistently ignored such studies even though the evidence of the natural history of prostate cancer is well documented. Early detection and treatments have not been proven to improve survival. This statement is based not on any positive evidence against early detection but on the lack of randomized, controlled trials.