October 6, 2022

The evening earlier than he underwent surgical procedure for prostate most cancers in June this yr, former rugby worldwide Kenny Logan, who’s married to TV presenter Gabby Logan, sat in his backyard sobbing.

‘I cried my eyes out, pondering no means do I wish to depart my children at solely 17 or Gabby,’ he says.

Though he had been advised that at his age — he’s 50 — the possibilities of the operation being profitable have been closely weighted in his favour, Kenny, who lives with Gabby, 49, and their 17-year-old twins Lois and Reuben in South-West London, felt overcome with worry that he would possibly nonetheless be left with most cancers.

‘It was the primary time I actually thought I wouldn’t make it,’ he says. Kenny provides that he was extraordinarily ‘fortunate’ his most cancers was even noticed within the first place.

Eighteen months in the past he determined to have a male well being MoT, which included a blood check, after Gabby began hormone substitute remedy (HRT).

The evening earlier than he underwent surgical procedure for prostate most cancers in June this yr, former rugby worldwide Kenny Logan, who’s married to TV presenter Gabby Logan, sat in his backyard sobbing

‘She was ensuring she wouldn’t fall off a cliff, like ladies who all of a sudden have menopause signs,’ he says. Chatting with the Every day Mail in his first newspaper interview, he revealed the trauma of his prognosis.

‘I assumed I ought to discover out what was taking place to my hormones. I imply, what if in 4 years’ time I used to be on the backside of the cliff, wanting up at my spouse who was effective as a result of she was on HRT? I like her and don’t wish to lose what we’ve obtained.’

The examine in December 2020 included a check to examine his ranges of prostate-specific antigen (PSA), a protein made within the prostate, a walnut-shaped gland that sits under the bladder and produces fluid for sperm.

Whereas PSA ranges can rise for all types of causes, together with biking, intercourse or an an infection, persistently excessive ranges can recommend prostate most cancers.

‘I used to be advised my ranges have been a bit excessive, at 4.5ng/ml,’ says Kenny. Typically under 3ng/ml of blood is regular for males aged 50 to 59. ‘I needed to ask what PSA meant — I hadn’t heard of it earlier than.’

Kenny was given a digital rectal examination to examine his prostate. ‘The physician stated it felt effective however I ought to see a urologist,’ he recollects. ‘Most cancers wasn’t talked about however I wish to get on with issues. Gabby requested what I used to be going to do and I made an appointment.’

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Kenny noticed a specialist privately, who gave him one other PSA, which once more was 4.5ng/ml.

He was despatched for an MRI scan, which revealed the prostate was ‘a bit swollen’, however Kenny was assured he was ‘effective’ and can be monitored each six months.

'It was the first time I really thought I wouldn't make it,' he says. Kenny adds that he was extremely 'lucky' his cancer was even spotted in the first place

‘It was the primary time I actually thought I wouldn’t make it,’ he says. Kenny provides that he was extraordinarily ‘fortunate’ his most cancers was even noticed within the first place

At his subsequent check-up his PSA stage had risen to only below 5ng/ml and he had a biopsy on the identical personal hospital, with 15 samples taken. He was advised nothing wanted to be accomplished however that he would proceed to be monitored.

A 3rd check in January this yr confirmed his PSA had risen to 6ng/ml and he underwent one other biopsy, taking 30 samples. Inside every week, he was at residence on the couch, hand-in-hand with Gabby, when he acquired the information that he says ‘neither of us anticipated’.

Throughout a Zoom session, the specialist broke it to him that he had prostate most cancers and wanted to have remedy inside 4 months. It was thought that the tumour was contained throughout the prostate however the medical workforce was involved that it may begin enlarging quickly.

The couple struggled to course of the information. ‘Our eyes have been welling up,’ recollects Kenny. ‘Lois got here in and heard what was being stated, then Reuben arrived and we held one another afterwards and cried. ‘Reuben stated: ‘I would like you round, Dad. However you’ll smash this.’ The arrogance and perception of my mindset got here from my children.’

Yearly round 52,300 circumstances of prostate most cancers are identified within the UK, with 12,000 deaths. Males over 50 (or over 45 within the case of these with an African ancestry) are most in danger, though most circumstances are identified in males of their 70s or 80s, in line with the charity Prostate Most cancers UK.

A household historical past of the illness can even improve the chance (there was none in Kenny’s household).

‘The nice tough is that when prostate most cancers is early, it’s symptomless, so how are you going to discover it early?’ says Stephen Langley, a professor of urology on the Royal Surrey County Hospital.

Analysis usually begins with a PSA check, which is obtainable to males aged over 50 on the NHS who ask their GP for one.

After his expertise, Kenny desires to encourage all males over 50 to have their PSA checked.

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However the check is controversial as a result of it may give false constructive outcomes, which can result in intrusive biopsies (that may trigger an infection). A Europe-wide research of prostate most cancers, printed within the British Journal of Most cancers in 2020, calculated that 60 to 70 per cent of constructive PSA outcomes are false.

Exams can even miss circumstances — one in seven males with a traditional PSA outcomes could have prostate most cancers, says the NHS. Chiara De Biase, director of help and influencing at Prostate Most cancers UK, says the PSA ‘isn’t delicate sufficient or correct sufficient’. 

Whereas some have known as for a screening programme, the charity’s view is that this ‘would introduce far too many harms’, says Chiara De Biase. 

‘We’re placing tens of millions of kilos into scientific research to discover a higher diagnostic software.’

Professor Langley disagrees. ‘There have been screening research displaying that by common checking of the PSA of males between 50 and 70, you may scale back prostate most cancers deaths,’ he says.

‘Having a PSA check for youthful males, of their early 50s, generally is a wise testing technique.’

He provides that males aged between 50 and 60 with a PSA under 1ng/ml, in all probability don’t want it checked for greater than 5 years, ‘but when it’s between 2ng/ml and 3ng/ml, you would possibly wish to have it checked each one or two years’.

A 2017 research, printed within the journal European Urology, discovered that males aged between 50 and 54 who have been screened utilizing the PSA check had double the prospect of being identified with prostate most cancers in contrast with males not screened. The research additionally discovered that there have been 57 fewer prostate most cancers deaths per 10,000 males within the screened group.

‘The sport-changer is [using] MRI,’ says Professor Langley, explaining this may be given after a raised PSA however earlier than a biopsy ‘and which is excellent at detecting cancers that is likely to be life-threatening and distinguishing them from the inconsequential ones so males don’t must bear pointless biopsies’.

The Nationwide Institute for Well being and Care Excellence (NICE) stated in 2019 that males suspected of prostate most cancers must be provided a specialist MRI scan. Kenny and his specialist agreed that surgical procedure can be the best choice as he was younger sufficient to get better nicely and have minimal side-effects. (Surgical procedure carries the chance of erectile dysfunction and incontinence.)

Regardless of these assurances, Kenny discovered himself crying in his backyard on the evening earlier than his surgical procedure on June 7.

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‘I’d have bizarre moments earlier than the op and wish to be in backyard all day and Gabby is aware of me nicely sufficient to go away me to it,’ he says.

She was at his facet when he got here spherical from the three-hour operation. ‘I left hospital after three days with a catheter in for one more week, feeling stiff and sore and sleeping lots,’ he says.

He has been fortunate to have minimal side-effects. ‘I knew there was an opportunity of urine leakage and had just a few accidents,’ he says. ‘However all’s effective now. Gabby and I had additionally talked about the potential for erectile dysfunction. However I’ve been very fortunate on that entrance.’

And two weeks in the past medical doctors confirmed there is no such thing as a signal of most cancers. ‘That was the most important phew,’ he says.

‘It hit me laborious when the surgeon stated that if, as an alternative of presenting early, I got here to him some years on with signs, the most cancers might need moved to my bones and I couldn’t have been cured.

‘He stated that at 50 you need to attempt to discover prostate most cancers as there aren’t any signs within the early levels, when it may be cured. If it finds you, the end result will likely be completely different.

‘He additionally stated that 40 per cent of my buddies may have prostate most cancers and never comprehend it. It chilled my blood and that’s why I wish to inform males to have a PSA check at 50.’

He provides: ‘Our youngsters could each be off to school subsequent yr however we’ll preserve our 21-year marriage sturdy even when our nest is empty. I wish to do extra with Gabbs.

‘I’m not a type of males attempting to flee their spouse. She’s my greatest good friend. Now I simply need different males to get examined. I can’t think about what my life would have been like if I hadn’t.’

prostatecanceruk.org/risk-checker 

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