Prostate cancer active surveillance

Particularly elderly men may have other illnesses which impact their estimated lifetime so significantly that a diagnosed low-risk prostate cancer will not have the time to cause symptoms. The aim of active surveillance is to delay the disease or to avoid the adverse effects of a treatment.

Prostate cancer is not always aggressive – sometimes active surveillance is sufficient treatment

In specific situations, prostate cancer may only be surveilled – and not treated – after thorough preliminary examinations (PSA, MRI and MRI‑based biopsies). The staff at Docrates Prostate Cancer Clinic have experience in active surveillance: we can identify situations where active surveillance is the best alternative and ensure that the patient is regularly and sufficiently monitored.

Active surveillance at Docrates Cancer Center

If active surveillance is the best option, at Docrates Cancer Center it can be arranged individually tailored. In active surveillance, decisions are always made after a thorough discussion where the benefits and risks of surveillance are weighed. At Docrates, the discussion is attended by the patient and his family and close friends and, as necessary, a urologist and an oncologist, so that the overall understanding is as comprehensive as possible and the patient knows exactly what his situation is and how to proceed.

Active surveillance includes:

  • Regular examinations: PSA testing every few months, regular MRI scans and, if necessary, new biopsies
  • Reassessment of the need for treatment: If the patient’s PSA levels increase at a rapid rate, MRI scans show that the cancer is advancing or a new biopsy indicates that the prostate cancer has become more aggressive, the need for treatment will be reassessed together with the patient.

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