On 25/09/2017 15:13, tim... wrote:

In most cases the aggressive type it too late to treat when discovered
(blame that on the patient not reporting the symptoms soon enough)

What symptoms, until it spreads or causes major blockages or bleeding?
Then, you're practically dead. I don't think there's any way for the
patient to report symptoms early enough to make a difference.

Get the PSA test done! If it's positive (or the trend is strongly
upwards from one year to the next), get follow up tests done. Then, stop
and decide what to do next.

Watchful waiting or active surveillance are options that may avoid
unnecessary treatment, whilst giving you a good chance at getting
necessary treatment done in time.