Signing off on the final routine medical examination of Joe Biden’s presidency, physician Kevin O’Connor declared the former US president to be a “healthy, active, robust 81-year-old male”.

“Last week, President Joe Biden was seen for a new finding of a prostate nodule after experiencing increasing urinary symptoms,” his personal office said in a statement. “On Friday he was diagnosed with prostate cancer, characterized by a Gleason score of 9 (Grade Group 5) with metastasis to the bone.”

Bob Brady (D-Pa.), who has known Biden for decades but has not spoken to the former president directly since the