Prostate Cancer

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The Challenge of Deciding When to Treat Prostate Cancer

Dr. Geoffrey Sonn Stanford Medicine

Most men will develop prostate cancer at some point in their lives if they live long enough, according to Dr. Geoffrey Sonn, Assistant Professor of Urology at Stanford Medicine. Yet most men will not die from prostate cancer. So what is the best treatment? The answer will likely differ depending on which doctor or hospital you choose. The challenge for your oncology team is whether to treat and if so how, or just watch and wait.

Some cancers are so small that they do not show any potential of spreading. In those cases, active surveillance may be the choice. Cancers that are high-risk with the potential for spreading should be treated, most likely by removing the prostate gland or by radiation therapy. Treatment comes with potential urinary and sexual side effects so the risks and benefits need to be weighed.

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Dr. Geoffrey Sonn is a board certified urologist who specializes in treating patients with prostate, kidney and testicular cancer. Read More

Overview of Prostate Cancer Treatment

Prostate cancer can be treated with a handful of methods – and believe it or not, your preference on the matter makes a big difference. We asked top doctors to weigh in on surgery vs. radiation and the watch & wait approach.

Treatment: Watching and Waiting

Active surveillance for prostate cancer is a very specific protocol with requirements and guidelines. While this is not ideal for everyone, it may work for certain patients and spare them the side effects of treatment.

Treatment

What is Active Surveillance?

Treatment

The Benefits of Active Surveillance

Dr. James Brooks
Stanford Medicine
Treatment

When Is Active Surveillance Not Enough?

Dr. David Wise
NYU Perlmutter Cancer Center