Prostate cancer is invariably diagnosed by transrectal ultrasound guided prostate biopsy. Biopsies are carried out following an abnormal PSA test. PSA tests are carried out as part of the investigation of urinary symptoms in men, and for prostate cancer testing (see above). Treatment of prostate cancer depends on the cell type, stage and grade of the cancer. In its early stages, prostate cancer can be cured by a variety of standard treatments including radical prostatectomy, radiotherapy or brachytherapy. Radiotherapy and brachytherapy invariably require testosterone suppression, sometimes for a prolonged period, which is not necessary with radical prostatectomy.
In some (usually older) men, test for prostate cancer may identify a tumour too early, and immediate treatment (with attendant recovery and long-term side effects) may not be necessary. In these cases, careful surveillance with a view to later treatment (if required) may be an equivalent option.
For further advice on prostate cancer testing or prostate cancer treatments, please call us on +44 (0)20 3651 6065 to book an appointment, with Mr. Mark Feneley at The London Clinic, 120 Harley Street, London, W1G 7JW.
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