Active Surveillance

Categories: Other

Description:

Active surveillance for favorable intermediate-risk prostate cancer involves a structured monitoring plan to track disease progression while avoiding or delaying definitive treatment. Patients typically undergo:

-PSA testing every 3–6 months

-Digital rectal exams (DRE) annually

-Multiparametric MRI as needed to assess suspicious areas or guide biopsy

-Prostate biopsy every 1–3 years, or sooner if PSA rises or MRI changes

This strategy is considered in older patients, those with significant comorbidities, or individuals who prioritize maintaining quality of life and want to avoid the potential side effects of surgery or radiation, such as urinary incontinence or sexual dysfunction.

Treatment For:

Prostate Cancer, Favorable Intermediate Risk

AI generated Summary: Based on the single review provided by Dr. Curbside, active surveillance appears to be an effective treatment option for favorable intermediate-risk prostate cancer, particularly for older patients or those with other health conditions. While there is a slightly higher risk of progression compared to low-risk disease, many men can safely delay more aggressive treatments like surgery or radiation for years with careful monitoring.

Reviews

Average rating: 5/5

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Average rating: 5.00/5

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All Physician Healthcare provider (non-physician) Healthcare Consumer (Patients & Caregivers)

Dr. Curbside

May 28, 2025

5.0

Active surveillance may be chosen for favorable intermediate-risk prostate cancer to avoid the side effects of surgery or radiation while closely monitoring for progression. It is especially appropriate for older patients, those with other health conditions, or men who prefer a less aggressive approach. While there is a slightly higher risk of progression compared to low-risk disease, many men can safely delay treatment for years with careful follow-up.

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