What PSA level should people worry about if they are on watchful waiting?
This is different for each person. It depends on your PSA and DRE results, your Gleason score and the presence of other risk factors such as age and comorbidities etc. – All treatments have side effects and risks. The big three side effects in prostate cancer are gastro-intestinal problems, incontinence and sexual dysfunction. Surgery has a risk of 1 in 500 deaths in 28 days, radiotherapy risks are higher but the population receiving radiotherapy is usually older. We always need to weigh up the risks and benefits of treatment. – Q: What about alternative therapies? A: We don’t know if they work. They might help or, in some cases, they may be harmful. We all want to feel in control of our health. I usually say to my patients “just try to keep some money in your pocket for other things”. – Chemotherapy has traditionally not worked so well in prostate cancer as the cancer is slow growing and most chemotherapy drugs are aimed at stopping the growth of fast growing cells. There is a new che
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