as its going into a bit of a bike forum tit for tat
I fear I’m one of the “tit for tatters” so I’ll leave this thread now for the good of the thread.
My Father and (non-blood relation) Uncle showed no symptoms at all until they were suffering from aching limbs from the spread to their bones. Needless to say that was long after it could be operated on. People can draw their own conclusions from that snippet of anecdotal quasi-evidence.
For myself, as someone with serious family history of this (all my blood relation uncles) I feel the odd PSA test might help me identify a problem sooner than waiting for symptoms. It also establishes a baseline that might help in a future diagnosis.
It’s not perfect, there’s the significant chance a cancer could be missed, at the other extreme there’s a chance a PSA test could give such a brilliantly early warning that I could end up having a deeply unpleasant operation on a cancer that was never going to kill me. I might die in a car crash on the way for a PSA blood test or might catch pneumonia from someone in the waiting room.
I’m open minded, maybe some evidence will come to light that makes me change my strategy on this, but until then this is my best guess at the best course of action.