Observation or “watchful waiting” as it is sometimes
called, may not sound like an active treatment option, but
it is. Observation is an active program for closely monitoring
the progress of your cancer. Your progress is monitored
through a series of tests performed on a regular basis.
This will include regular PSA tests, a
periodic digital rectal exam (DRE), possible
continued biopsies and analysis of your
urine for blood. The frequency of these tests will depend
on the level and progression of the cancer. On average,
PSA tests are performed every 4 to 6 months. For more information
about these tests, visit the Diagnosis
section of The Prostate Centre.
While this is the least physically demanding treatment
option, some men may find it too stressful to observe cancer
rather than attempting to cure it.
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Whether or not you choose observation is dependant upon
a number of factors including your general health, your
age and your family history. If your doctor thinks that
you will likely die from other causes before you develop
problems from prostate cancer, then he may suggest observation
as the treatment to pursue. Your choice will also depend
upon the aggressiveness of your cancer. Low-grade, well-differentiated
cancers tend to be the least aggressive and slowest-growing.
Observation is not without risks. Occasionally a cancer
that appears to be slow-growing and non-threatening will
prove to be much more aggressive than anticipated. If this
were the case, the cancer might advance beyond the point
were it could be successfully treated. The aim of treatment
would then be to alleviate pain and prolong life, rather
than to cure the cancer.
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