First, we will discuss what is the difference between observation and active surveillance. Observation is preferred when the life expectancy of the patient is less than 10 years.
PSA is done every 6 to 12 months for an initial 5 years, and then annually.
Active surveillance is done when the life expectancy of the patient is more than 10 years. In this, PSA is done every 6 months and DRE, prostate biopsy and MRI pelvis are done annually.
Surgery for prostate cancer is called as radical prostatectomy, in which prostate is removed along with surrounding structures.
The next treatment option is radiotherapy, which can be given as EBRT, IMRT, and brachytherapy. The decision regarding this is taken by the radiation oncologist.
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