Prostate cancer cases set to double, doctors warn

Doctors warn of a treatment crisis with prostate cancer diagnoses projected to double by 2045. Photo / Getty Images

Doctors are warning of a looming treatment crisis with annual prostate cancer diagnoses projected to double to 8000 by 2045.

The cancer is the most commonly diagnosed in New Zealand, with more than 700 men dying every year.

Of those who survive, just over 60% said they had no symptoms when diagnosed.

Urologist Jim Duthie said men needed to change their attitudes to health and push their GPs for regular prostate cancer blood tests, once they hit 50.

“Not having visited a GP in 20 years is not a badge of honour,” he said.

“A yearly health check should be as routine as getting your car’s WOF – as much for your own sake as for those who love you.”

With the expected surge in cases, Duthie said it was time the Government stepped in with a nationwide screening programme.

New Zealand First recently introduced a Member’s Bill to set up a four-year pilot programme – with one location in each of the North and South islands.

The Prostate Cancer Foundation said such a programme would cost about $6.5 million but could potentially return over $100m “to the health system in cost savings, generate over half a billion in health gains, and avoid nearly $1m in personal income loss for working-age men”.

Prostate Cancer Foundation New Zealand CEO Peter Dickens. Photo / Supplied
Prostate Cancer Foundation New Zealand CEO Peter Dickens. Photo / Supplied

Foundation chief executive Peter Dickens called for all parties to support the bill, and said it would allow New Zealand to learn from, and contribute to, an international database by joining a European Union screening pilot involving 12 other countries.

“We owe it to every man in New Zealand to take this issue seriously. If we can demonstrate this is truly an issue of national importance, then we can start having more open conversations about this devastating disease and the steps needed to address it.”

Beyond early detection and surveillance programmes, Duthie said New Zealand needed to modernise its treatment options, saying the nation was falling behind comparable countries in robotic surgery, radiotherapy and the latest medicines.

- RNZ

3 comments

Credibility

Posted on 18-09-2025 17:14 | By morepork

As an old man, I have regular annual across-the-board blood tests, even though my general health is very good. These tests include PSA (Prostate Serum Antibody) markers although I had to specifically request them. By default, a set of blood tests DOESN'T include PSA. When I enquired as to why these tests are not standard, I was told it's because they are not reliable and can cause you to think you're OK, when, in fact, you are not.
Despite shaking my confidence, I still see them as an indicator, but it would be good if they actually meant something.
Perhaps we need better testing so that both medical staff and patients can have some faith in test results, and we can detect problems earlier.
If anyone here has a different view, please express it. This is an issue that needs open discussion.


In reply morepork....

Posted on 19-09-2025 21:19 | By groutby

...firstly, I totally agree with you that there needs to be open discussion and we men (he/him:) are absolutely the worst at our own health.
As a prostate cancer survivor, I see only benefit from a PSA test. If it were not for my GP doing requesting regular PSA tests for me (as per a recent Brendan Dugan article) and without any symptoms whatsoever, my outcome would have been somewhat different.
As I understand, the PSA test has it's inaccuracies, but it is a start point to monitor the change in PSA levels, therefore leading to further investigation...or not...
I have two people mainly to thank ....1) My GP doing the PSA test , 2) the skills of the surgeon and the following treatments (in my case radiation).
NEVER EVER disregard the value of a PSA test....EVER....


@Groutby

Posted on 20-09-2025 14:03 | By morepork

Thank you so much for a very open, honest, and useful response. I would keep having PSA in my regular blood test anyway, but your post rebuilt some of the confidence I lost. I hope other guys here are moved to request this test as well.
Very pleased you had such a positive outcome from what must have been a very gruelling time for you.


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