Localized Prostate Cancer

Conservative Management

Conservative Management

Conservative management is a type of treatment where the progress of your disease is closely monitored. In prostate cancer, this can be done through active surveillance or watchful waiting.

During active surveillance the doctor monitors the tumour and its growth, based on a strict visiting schedule. During each visit, several tests are done including checking the level of prostate-specific antigen (PSA) in your blood. The aim is to switch to other treatment options if there are signs that the disease is progressing. Active surveillance is a treatment pathway to cure localized prostate cancer with a low Gleason score. If you have locally-advanced prostate cancer, other treatment pathways will be recommended.

Watchful waiting is a form of symptom-guided treatment. The aim is to switch to other treatment options only when symptoms appear. Your doctor may recommend watchful waiting if other treatment options are not the best for your individual situation.

Discuss with your doctor the advantages and disadvantages of conservative management and if it is right for you.