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I still must disagree. It is not the knowledge that causes problems, it is what you do with it. If you know you have a rising PSA, you can be checked for other urinary tract problems, if you find from biopsy you have PCa you can undertake certain lifestyle changes to arrest its progression with out undergoing anything radical. If you know you do not have to wait for symptoms to make beneficial changes. I have cut down on red meat, added vitamins, drink pomegranate juice, and am losing weight. If these work(some say yes some say no-only time will tell) the fact that I knew there was a problem and could take corrective action could either stop further symptoms or delay them.
The failure rate of RP is too high whether it is 5% or 35%, if people would take a deep breath after a Dx and study and learn, then I firmly believe that knowing is power. I have the power to make changes to possibly avert further symptoms, metastases, complications etc because I know.