Month 56 – Watchful Waiting Increases

I was struggling with a topic for this month’s post.  You read in my 54-month update that things are going well for me, and I hate sounding like a broken record month after month.  But then this article appeared and I knew that I had to comment on it.

“Watchful Waiting” Becoming More Common for Prostate Cancer Patients

As a certified geek who likes numbers, I get the science and statistics behind moving to a watchful waiting or active surveillance model.  As a human being, putting “wait” in the same sentence with “cancer” is so counter-intuitive that it boggles my mind.  But, as a human being living with a mild version of the common side-effects of treatment (incontinence and impotence), it also makes me wonder if the watchful waiting approach could have been for me.  That conundrum is the infuriating part of being diagnosed with prostate cancer.

Treatment decisions are very personal.  If I was 65, 70, or 80 years old when I was diagnosed and I was a candidate for watchful waiting, I may have given it much greater consideration as an option.  But I wasn’t.  I was 52 years old when I was diagnosed, and in my mind I wanted to maximize my chances of getting to 65, 70, or 80 years old.  I wanted a Plan A (radical prostatectomy) and the option for a Plan B (radiation, chemo, hormone therapy, etc.) in case Plan A wasn’t effective.

Was I “over-treated,” as the article suggests so many prostate cancer patients are?  That’s one of those nagging but unanswerable questions.  I’m alive, and it is what it is at this point.  No going back.

So if you’re newly diagnosed, I’m sorry to say that you have some tough choices ahead of you.  Do your research; decide what’s important to you and what you can live with (or without) in a post-treatment world; and take as much time as you need to come to a decision that you can live with for the rest of your life.

Trends in Management for Patients With Localized Prostate Cancer, 1990-2013


5 thoughts on “Month 56 – Watchful Waiting Increases

  1. MrKnowBody

    I like your broken record month after month. Too many of my patients records are sending their life songs into fast speed…and with cancer that is a horrible thing


  2. MrKnowBody

    Holy goodness to be diagnosed in your 50’s is so rough it looks like you have made some great choices. I’m all about the reality that you will still be here pestering someone at 80 🙂


  3. I am similar to the author diagnosed at 51 had the prostate removed and 1 nerve bundle removed however i am only 7 weeks post surgery and i have 2 young sons and a sometimes loving wife.
    Don’t get caught up in hindsight its a black hole. Read talk find out your choices there is no going back once the operation is done it is done. Be informed and don’t be afraid to talk to people, don’t put your head in a bucket and hope for the best get all the information you can understand it, digest it and make an informed decision, then be confident that you made the best decision that you could with the information that you had. there is nothing easy about it but for your best head space be at peace with your decision


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