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ASPI – A Place for Options for Prostate Cancer Education and Peaceful Vigilance 

All of us have experienced the anxiety and uncertainty you may now feel. Should I have treatment or can I wait or avoid treatment all together? How do I know what “low risk” is, and how do I determine if I’m low risk? What is Active Surveillance?

ASPI’s Board’s goal is to offer you informed options – empowering you if you should choose to immerse yourself in what we offer. Our board has many years of Active Surveillance experience and has an international support network to equip men with the knowledge they will need to discuss their choice of care with their clinician. We’ve worked with the challenges and questions you now face. Also, the decision to transition from AS to treatment can be stressful. Two of our board members have made that journey, and we can offer support in that process as well.

We have found a kind of peaceful vigilance in our journey, and you can arrive there as well. Please read our mission statement, newsletters, patient stories, blogs, webinars, watch meeting videos, late-breaking news, ever-changing protocols – and much more.

Finally, get in touch with us at and we’ll be sure to get back to you.

And one additional request: should you find our information worthwhile and you become involved with our organization in helping other men, your financial participation – in the form of any amount – will further support our mission and would be welcome.
Click here to support us: Thank you.


Headshot of AS Patient Thrainn Thorvaldsson
Thrainn’s Story

In my opinion, my greatest personal accomplishment was to undertake extensive research on my own, followed by choosing AS. When I was diagnosed with PC at the age of 61, my doctors strongly recommended that I undergo traditional treatment. Surgery was at the top of the list.

Headshot of AS Patient Mark Lichty
Mark's Story

Eighteen years ago, I was diagnosed with Gleason 6 prostate cancer at the age of 55 – and, against the advice of five medical professionals (including my wife, a nurse practitioner) I chose not to have intervention.

Years on Active Surveillance

Mark Lichty192
Philip Segal174
Bill Manning149
Howard Wolinsky131
Geoff McLennan123
David King Keller101
Martin Gewirtz69

The following ASPI directors have now entered treatment:

Thrainn Torvaldsson after 14 years of A.S.

We hope this list of men on AS and men who have transitioned to treatment may help to reassure about the choice you have made or might make. One choses AS not only to avoid side effects, but also to allow the evolution of treatment. As an example, Thraiin, our Icelandic board member diagnosed 18 yrs ago, likely received a higher level treatment due to his years on AS.

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Predict Prostate is intended for men with non-metastatic prostate cancer who are deciding between active surveillance and treatment options.

Click Here for the Predict Prostate Tool


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