Which treatment is best for localised prostate cancer?
Localised prostate cancer is amenable to a wide range of treatment modalities, including: • Surgery (radical prostatectomy) by robotic, laparoscopic or open approaches • External beaam radiation • Radioactive seed implant (brachytherapy) • Active surveillance • Newer techniques such as cryotherapy or high intensity focussed ultrasound (HIFU) Making an appropriate choice of treatment is not easy, and requires careful assessment of each patient, followed by detailed counselling. The factors which may influence the choice of treatment include: • Cancer-related factors, including stage, grade, PSA etc. • Patient co-morbidities, e.g.
