Managing localized prostate disease

Satyendra Persaud MBBS DM (Urol) FCCS Registrar, Department of Urology, San Fernando General Hospital, Trinidad and Tobago

20160306urology and youLast session, I outlined several options for the management of localized disease – that is, when the cancer is only in the prostate and nowhere else. To recap, these were:

Active surveillance – the cancer is observed closely and treated with curative intent only if necessary.

Radical prostatectomy – the prostate is surgically removed.

External beam radiotherapy – a powerful machine is used to deliver radiation beams to the prostate, usually utilizing a CAT scanner to ensure the