On being diagnosed with prostate cancer, most men experience very strong emotions. Most men expect their doctor to recommend whatever treatment they need.
The many treatments available, some of them quite new, for localised prostate cancer make it difficult to choose which is the best treatment for you. Options include
- active surveillance (watchful waiting),
- surgery with a radical prostatectomy in all its various forms, including nerve-sparing, non-nerve-sparing and non-nerve-sparing with sural nerve graft. These operations can be performed open or laparoscopically, with or without robotic assistance.
- Radiation including conformal external beam radiotherapy, brachytherapy with seeds and high dose rate brachytherapy
- High intensity focused ultrasound, and
- Hormone therapy.
With every person it is important to discuss all these options, including their cure rates, the side-effects, where the treatment takes place and the experience of the person treating you.
The type of treatment advised will depend on a number of factors including:
- The stage of the cancer
- The Gleason score
- The level of PSA in the bloodstream
- The mans age and general health
- The side effects of treatment
- And possibly - the treatment that the consulting doctor specialised in.