It seems doing nothing is the best route for most men.
Doing a BIOPSY may be what actually kills the patient, better to do nothing most of the time instead.
================
Daily Medical Discoveries
Most prostate cancer is relatively harmless — and the treatment is what wrecks men
How to skip the biopsy you probably don't need, and the upstream fix that prevents the cancers that do kill
Jun 15, 2026
Excerpt:
A student of mine, 67, emailed me terrified last spring.
His PSA had ticked up to 5.8. His urologist had ordered a biopsy. The biopsy found three small foci of Gleason 6 cancer.
The urologist sat him down and walked him through the options. Surgery. Radiation. Brachytherapy which is putting a radioactive seed in there.
He asked what would happen if he did nothing.
The urologist did not really answer.
The student emailed me from the parking lot.
I’ll tell you what I told him in a minute. First I want to tell you something most men have never heard.
By the time an American man is 60 years old, there is roughly a 2 in 3 chance he is already walking around with a prostate cancer in his body.
He doesn’t know it. His doctor doesn’t know it. It has never bled into his urine, never caused him pain, never shown up on any imaging.
It is microscopic.
It will, in all likelihood, never kill him or even bother him.
But if some doctor cores his prostate with 12 biopsy needles in search of it, the doctor WILL find it.
And then the whole machine starts moving.
I’ve been coaching men for twenty years. I’ve watched this system chew through men I love.
Today I want to tell you what the actual research says.
About how common prostate cancer really is. About what biopsies actually do to men. About whether radiation and surgery and chemo actually save lives
LINK
Doing a BIOPSY may be what actually kills the patient, better to do nothing most of the time instead.
================
Daily Medical Discoveries
Most prostate cancer is relatively harmless — and the treatment is what wrecks men
How to skip the biopsy you probably don't need, and the upstream fix that prevents the cancers that do kill
Jun 15, 2026
Excerpt:
A student of mine, 67, emailed me terrified last spring.
His PSA had ticked up to 5.8. His urologist had ordered a biopsy. The biopsy found three small foci of Gleason 6 cancer.
The urologist sat him down and walked him through the options. Surgery. Radiation. Brachytherapy which is putting a radioactive seed in there.
He asked what would happen if he did nothing.
The urologist did not really answer.
The student emailed me from the parking lot.
I’ll tell you what I told him in a minute. First I want to tell you something most men have never heard.
By the time an American man is 60 years old, there is roughly a 2 in 3 chance he is already walking around with a prostate cancer in his body.
He doesn’t know it. His doctor doesn’t know it. It has never bled into his urine, never caused him pain, never shown up on any imaging.
It is microscopic.
It will, in all likelihood, never kill him or even bother him.
But if some doctor cores his prostate with 12 biopsy needles in search of it, the doctor WILL find it.
And then the whole machine starts moving.
I’ve been coaching men for twenty years. I’ve watched this system chew through men I love.
Today I want to tell you what the actual research says.
About how common prostate cancer really is. About what biopsies actually do to men. About whether radiation and surgery and chemo actually save lives
LINK
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