There will always be exceptions to the rule, but in general, they are not recommended for healthy men over the age of 70, for the reasons stated.

We have a friend who had to make a decision on whether to receive treatment or not... but it is not as simple as people would like to think. There are downsides, and the tests and/or treatments are not always reliable. Treatments can have downsides, with no certainty that they are even necessary or effective. For many men, even if their PSAs show an upward trend, that type of cancer is often very slow to progress... so it is not that simple when discussing such a test, diagnosis, treatment, or how effective or desirable a treatment plan may or may not be.