A: Because the treatment involves impotence and dribbling. Even radiation has a high degree of impotence later on and you can get complications. Radiation of the bladder can cause a lot of problems, and radiation of the rectum can cause a lot of problems. And in surgery about 30% of the men end up impotent or incontinent. So the treatment is kind of not ideal.
Q: But what's the trade-off? Isn't there a major risk in not getting treated?
A: Well, that's the issue. Only a small percentage of people who get prostate cancer die from it. Probably only on the order of 3% or 4% of people who are diagnosed with it will actually die from the disease. The vast majority, over 95% of them, will actually die from old age, and you're sort of taking a gamble. Most of the time it's asymptomatic until it starts spreading to the bones.