Active Surveillance – One of Several Options for Prostate Cancer

June 27, 2014

When a patient is diagnosed with prostate cancer, understanding and considering a course of treatment can be overwhelming. As you and your physician consider which treatment may be best for you, it is important to understand how far your cancer has progressed, potential treatment-related side effects and your general health.

One treatment option that we always consider at The Urology Group is no treatment at all. This is commonly referred to as “active surveillance” and may be right for some patients.

The “active surveillance” approach monitors the cancer over time to assess progression rather than intervening immediately with surgery, radiation therapy or other treatments.

Typically, active surveillance can be an option when the prostate cancer is:

  • not causing any symptoms
  • expected to grow slowly
  • small and contained within the prostate

This “wait and see” approach requires regularly scheduled prostate specific antigen (PSA) tests and digital rectal exams (DRE), as well as a repeat biopsy of the prostate at one year, and specific intervals thereafter.

At any time, if symptoms develop or progression of the cancer is detected, treatment may be warranted.

The profile of a candidate for active surveillance includes a low grade (Gleason 6 or under), low-risk prostate cancer (low PSA and stage) that appears to be low in volume (small amount of cancer found on biopsy, for example). Lifestyle considerations may also be a factor. Researchers are currently developing biomarkers and additional tests to make this decision easier and more accurately informed.

Active surveillance might also be a good choice for older men with limited life expectancy. In addition, if a man is currently battling other serious disorders or diseases, such as heart disease, long-standing high blood pressure, or poorly controlled diabetes, it may be best to hold off on therapy and avoid its potential complications.

Any decision regarding prostate cancer treatment needs to be fully informed and have the support of the patient’s loved ones as well as the physician and healthcare team.

Recent Featured Blog Posts

  1. The Gentlemen Stakes is Rounding the Bend: What’s New for this Year’s 5K Event

    The Urology Group is on track to present what we think will be our best annual prostate cancer run yet, in part because we’re also going off-track. Our 12th annual 5K event to benefit ZERO – The End of Prostate Cancer, on Saturday, September 14, has added two new attractions and an alternate route for those who prefer…

    Read More
  2. Medical Care on the Road: 6 Tips for Seeking Urgent Care While Traveling

    The American Cancer Society reports that about one of every 250 males develops testicular cancer during his lifetime.

    Read More
  3. It’s Testicular Cancer Awareness Month: 6 Facts You Should Know

    The American Cancer Society reports that about one of every 250 males develops testicular cancer during his lifetime.

    Read More

Virtual Assistant

Virtual Assistant

How may I assist you today?

I need help with ‘Directions & Hours’
(Please select a location from the list below)
I need help with ‘ Billing Questions’
(Please select an option below)

I need help with ‘Billing Questions’

What number should I call to pay my bill?

If your bill is from The Urology Group, please call (513) 841-7474 to pay your bill.

If your bill is from The Urology Center, please call (513) 841-7475 to pay your bill.

I need help with ‘Making, Rescheduling or Confirming an Appointment’

If you would like us to call you to set up an appointment, please click here to request a call back.

If you would like to call us, please call
513-841-7400
to speak with a representative.
Our hours are:

Monday-Friday: 7:30am – 5:00pm

I need help with ‘Questions About Test Results’

please call us at:

513-841-7400

Our hours are:

Monday-Friday: 7:30am – 5:00pm

I need help with ‘Medication Refills’

please call us at:

513-841-7400

Our hours are:

Monday-Friday: 7:30am – 5:00pm

I need help with ‘Returning a Call from the Office’

please call us at:

513-841-7400

Our hours are:

Monday-Friday: 7:30am – 5:00pm

I need help with ‘A Copy of My Medical Records’

please call us at:

513-841-7400

Our hours are:

Monday-Friday: 7:30am – 5:00pm