Active Surveillance for Prostate Cancer
Active surveillance is a carefully structured approach to managing prostate cancer. It is often recommended for men early, slow-growing prostate cancers that is unlikely to spread in the foreseeable future. The primary goal of active surveillance is to monitor the cancer closely for as long as possible to avoide unnecessary treatment and its associated side effects unless without affecting cancer survival rates.
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Why Active Surveillance?
Prostate cancer can vary in its aggressiveness from a “pussycat” cancer that grows so slowly that it may never need treatment to a “tiger” cancer that needs urgent treatment. For “pussycat” cancers, the risks and side effects of treatments such as surgery or radiotherapy may outweigh any potential benefits. Active surveillance offers an alternative that allows patients to maintain a good quality of life without affecting how long they live.
How Does Active Surveillance Work?
Active surveillance involves regular monitoring of prostate cancer through a series of routine tests and assessments. These generally include:
- PSA Tests: Prostate-specific antigen (PSA) levels are measured every 3-4 months. A rise in PSA levels could indicate that the cancer is becoming more active.
- MRI Scans: MRI scans are performed on a regular basis (e.g. annually) or may be recommended if there is a suspicion of growth based on a PSA rise.
- Prostate Biopsies: Biopsies may be carried if the PSA and MRI indicates that the cancer may have progressed or become more aggressive.
The frequency of these tests is determined by the healthcare team based on individual circumstances, but they typically occur every 3-6 months.
Benefits and Disadvantages of Active Surveillance
- Benefits: Men on active surveillance never require further treatment during their lifetime, thus avoiding potential side effects such as incontinence and erectile dysfunction and maintaining quality of life.
- Disadvantages: In some rarer instances, the prostate cancer may progress whilst on active surveillance and spread to other parts of the body excluding a patients from having a curative treatment. Fortunately, this is an infrequent scenario.
Diet and Exercise
It is important to have a healthy lifestyle including eating a balanced diet and undertaking regular exercise whilst on active surveillance. This is important so that you can be fit for treatments in the future if necessary. Also, there might be some dietary supplements that reduce the risk of the cancer progressing (e.g. Pomi-T, Vitamin D), although this is yet to be proven in trials.
When to Move from Surveillance to Treatment
Active surveillance is not a permanent solution for every patient. There may come a point when active treatment is recommended, for instance, if there are signs that the cancer is growing more quickly or becoming more aggressive. This decision is based on evidence gathered from PSA tests, biopsy results, and imaging. The goal is always to ensure that any progression is caught early, so effective treatment can begin while the cancer is still manageable.
Is Active Surveillance Right for You?
The decision to choose active surveillance is a deeply personal one and should be made in consultation with a specialist who understands your particular case. Factors like age, overall health, the specifics of your cancer, and your personal preferences all play a significant role in this decision. At healthXY, we are committed to helping you make the choice that is right for you, providing the information and support needed every step of the way.
healthXY’s Approach to Active Surveillance
At healthXY, we understand that dealing with a prostate cancer diagnosis can be overwhelming. Our approach to active surveillance is patient-centred, focused on ensuring you remain informed, comfortable, and in control of your healthcare journey. We provide:
- Comprehensive Monitoring: We carefully track your PSA levels and conduct necessary scans, ensuring your condition is closely monitored.
- Personalised Care: Each patient’s journey is different. We personalise our approach based on your individual needs, ensuring that you receive the best possible care.
- Support and Guidance: Our experienced team is here to answer questions, provide reassurance, and help you understand every aspect of your treatment. Whether it is discussing your PSA results or deciding when treatment may be necessary, we are with you at every stage.
Contact Us
If you have been diagnosed with prostate cancer and are considering active surveillance, healthXY can provide the care and support you need. Contact us today to learn more about how we can help you navigate your diagnosis with confidence and peace of mind.
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Get in touch with us today! Our dedicated team is here to assist you with any questions or concerns you may have. We encourage you to reach out to us via email, phone, or by filling out our convenient online form. Your inquiries are important to us, and we look forward to providing you with the support you need.
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