by WAYNE SWAN
Most men will tell you that September is all about footy finals, but what they won’t tell you is that it’s also the month of raising awareness for prostate cancer…
I’m sure Mamamia readers are well aware of the Man Flu, or as my wife likes to call it ‘an exaggerated cold’. It’s the one ‘sickness’ that us men will constantly complain, whine and tell everyone about.
Man Flu aside, I’m sure you know that men don’t like talking about their health, let alone getting tested for an illness they may not even have, particularly prostate cancer.
And I would know because I almost paid the biggest price a person can ever pay for that ignorance. I almost paid with my life.
Like many men I didn’t know what the symptoms of prostate cancer were and I never thought it would happen to me.
At the age of 67 my dad passed away from prostate cancer after an excruciating battle. I was about 35 at the time, and watching him lose that painful battle was an extremely difficult time for me as it was for my family. Like most men at that age I got on with things, concentrated on my career and starting a family. I don’t think I ever thought about being diagnosed with it, I didn’t even know what the symptoms were!
But about 12 years later it happened to me. I was diagnosed with prostate cancer.
I still remember the day my doctor called me and told me the symptoms I had been noticing were due to the same disease that my father had lost his life to. It’s fair to say I was shit-scared. Scared because I saw the pain my dad had gone through, but mostly terrified about having to sit down and tell my wife and kids that I had cancer.
I was diagnosed by way of a Prostate Specific Antigen (PSA) blood test.
The doctor gave me three options: to do nothing (I ruled that out); have immediate treatment which involved some radical surgery and risks, or to wait a while. I chose surgery.
I’m lucky, early detection saved my life, but for many men it’s a different story.
Each year in Australia we see around 20,000 new diagnoses of prostate cancer which kills close to 3,300 men. This exceeds the number of women who die from breast cancer annually. Each day about 32 men learn that they have prostate cancer, and one man every three hours will lose his battle with it.
Even though it’s most common in men over the age of 50, younger men with a history of prostate cancer in their family are at an increased risk.
Awareness is the first step, so I’d encourage you bring it up with the men in your life – whether it’s your husband, boyfriend, dad or brother. Now I’ll admit that prostate cancer isn’t exactly the most appealing topic to be talking about, but there’s nothing appealing about being diagnosed with it.
A lot of blokes don’t want to even think about it because they think it automatically means reduced sexual function.
In the first place, that’s not necessarily right. And in the second place, as I often tell blokes when I’m out and about spruiking awareness of this deadly disease, you can’t have sex in a coffin!
[Although when I put this reality to one bunch of blokes on a worksite a few years ago, one guy up the back piped up: I have!]
Sometimes us blokes just need a bit of a nudge – so start by sending him a link to the Prostate Cancer Foundation of Australia’s website http://www.prostate.org.au and get the conversation about prostate cancer started today. Early detection and a PSA test saved my life; I know it can save many more.
Wayne Swan is the Acting Prime Minister and Treasurer in the Australian Government.
Are the men in your life diligent about medical check ups? What do you do to encourage them to go to the doctor and get checked?







Comments
18 Comments so far
Wayne seems to be suggesting that treatment for Prostate cancer doesn’t necessarily mean reduced sexual function. True but a 50% rate of erectile disfunction is not insignificant. While 3,300 men a year still die from Prostate cancer (which PSA testing hasn’t reduced much, if at all), the vast majority of Prostate cancers don’t kill anyone. I think the future lies in better imaging of cancers to more accurately determine how dangerous they are.
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Great post, Wayne. My dad had prostate cancer, his father died from it. Fortunately my dad received the all clear a few years ago.
I’m glad you’re still here, too.
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I recently had to have a series of blood/urine tests. My GP automatically tests for prostate every time she orders me to take tests.
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I think I have a little crush on Wayen Swan now
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You need to go directly to Emergency. Now!
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I’ll even drive her there !
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Um er yes, sorry, like always I forgot about details!! Just like the ABC conveniently do when talking about the economy and forget to mention the 250 billion dollar debt and the fact that my balanced budget is already in the red by about 20 billion.
Sorry folks, the symptoms include a poor urine flow.
I used to encourage mine by singing, ‘Baby You Were Born To Run’ to Mini Boss at the urinal. It used to make staffers uncomfortable and we were losing cleaners like voters so I decided it was time to get it checked out.
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I would suggest men read Prof Simon Chapman’s book “Let sleeping dogs lie? What men should know before getting tested for prostate cancer” before proceeding with Wayne’s advice.
http://ses.library.usyd.edu.au/handle/2123/6835
Also recent article on The Conversation
https://theconversation.edu.au/psa-screening-and-prostate-cancer-over-diagnosis-8568
R
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i would suggest visiting this website http://www.prostate.org.au
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Yes! The recommendation against PSA-based screening was fascinating, particularly how the inventor of the test now denounces the method.
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Agreed, a list of symptoms would be really useful. I can report that wee wee is going fine.
I had a thought that made me laugh, let’s see if I can get it past the moderators.
Wayne, I understand that part of the diagnosis for prostate cancer is a per rectum examination, which begs the question – did your doctor find any particularly ambitious staffers?
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The stats are a bit shocking , I had no idea the numbers were so high. Can you add a list of the most common signs and symptoms of prostate cancer to the bottom of Wayne’s story?
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Yes, I was also hoping to see a lust of common symptoms, so I’ll have something specific to put in the table for my man.
Thanks for bringing awareness Wayne!
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I agree. It would be good to have a clear understanding of the signs and symptoms to be able to help educate men (and their partners). Maybe a follow up article to support this one?
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I know one of the biggies happens when men wee. They may have trouble starting a wee, it may be a thin dribbling trickle instead of a steady stream and because of that, take a long time to finish, or they may need to go often because they don’t empty their bladders properly.
I used to work in surgical ward for men, so I saw a lot of men having prostatectomies. Surgery has come a long way, but I’ve seen what happens if it’s not caught in time.
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you can find it on the website link included in the article:
http://www.prostate.org.au/articleLive/pages/Symptoms.html
There are four main disorders of the prostate. All can have similar symptoms, which may include one or more of the following:
Waking frequently at night to urinate
Sudden or urgent need to urinate
Difficulty in starting to urinate
Slow flow of urine and difficulty in stopping
Discomfort when urinating
Painful ejaculation
Blood in the urine or semen
Decrease in libido (sex urge)
Reduced ability to get an erection
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As a volunteer at a prostate cancer charity in Queensland (called ManUp! QLD), and having witnessed my father endure prostate cancer, can I just say that while warning signs are great and what men should take note, look for and talk to their GP if concerned, by the time men start noticing these symptoms it is far far to late, and no longer located solely in the prostate gland. By the time men notice interrupted urine flow or any of the other symptons, the cancer has spread to the bladder, kidney, pelvic bones or stomach. This is the importance of having your PSA tested way before these symptoms start up. While most men don’t want to ask their GP for a PSA test to be included in their annual blood test (and I feel GP should start making it a part of yearly blood test after the age of 40), this is a simple blood test that takes 5 minutes out of the daily lives of men that saved my father’s life. Just like women of a certain age start having yearly mammograms, men of a certain age should start having yearly PSA tests, and not wait for the first symptoms to rear their ugly head as sadly, it is far too late by this stage. And I ask the men this: What is more scary – a little needle or a digital rectum examination? Please pardon the pun, but ‘man up’ fella’s and have the blood test! It could save your life so that you’re here to watch your kids or grandkids grow up.
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I think this is part of the problem, there needs to be a greater awareness made of this blood test, because guys automatically assume that any test for prostate cancer is going to involve a rectal examination. Most guys would be fine to have a blood test, and if they’re not, it’s easier to bully them into that, rather than the rectal examination.
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