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I have stage 1 prostate cancer. Which signs call for surgery?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 62-year-old man diagnosed with early-stage prostate cancer after a routine checkup showed a mildly elevated PSA level. I have no major symptoms, just mild urinary frequency, and no family history.

My doctor recommended active surveillance with regular PSA tests and monitoring, instead of immediate treatment. Is this a safe option? I’m also curious how diet, exercise, and meditation can support my health during this time.

What signs should I watch for that may indicate the need for surgery, radiation, or more aggressive treatment?

Please help.

Thank you.

Answered by Dr. Sugandh Garg

Education:

MBBS

Professional Bio:

Dr. Sugandh Garg is a qualified medical professional with an MBBS degree and an MD in Forensic Medicine, with significant experience as a COVID-19 expert. Since March 2020, he has been actively working with the government civil hospital COVID team, managing emergency cases and overseeing quarantine and isolation protocols. He has played a key role in supporting COVID-19 patients through structured treatment guidance and diet protocols, contributing to effective patient care during the pandemic.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

Your current plan, active surveillance for early-stage prostate cancer, is a well-established and safe approach. It includes regular PSA (prostate-specific antigen) tests, digital rectal exams, and periodic prostate biopsies to monitor for changes. Since you are not showing severe symptoms, there's no urgent need for surgery or radiation therapy at this point.

Lifestyle changes like a healthy diet, regular exercise, and meditation can support your immune system, reduce stress, and help lower the risk of cancer progression. While not a cure, they can improve your overall quality of life.

Stay alert for new or worsening symptoms, especially urinary problems, bone pain, or rising PSA levels, as they may signal the need for more active treatment. Always consult your doctor if anything changes.

Wishing you a smooth journey ahead.

Feel free to reach out with any further questions.

Thanks and regards.

Medically reviewed by iCliniq medical review team
Published At October 21, 2024
Reviewed At September 16, 2025

Education:

MBBS

Professional Bio:

Dr. Sugandh Garg is a qualified medical professional with an MBBS degree and an MD in Forensic Medicine, with significant experience as a COVID-19 expert. Since March 2020, he has been actively working with the government civil hospital COVID team, managing emergency cases and overseeing quarantine and isolation protocols. He has played a key role in supporting COVID-19 patients through structured treatment guidance and diet protocols, contributing to effective patient care during the pandemic.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Sugandh Garg is a qualified medical professional with an MBBS degree and an MD in Forensic Medicine, with significant experience as a COVID-19 expert. Since March 2020, he has been actively working with the government civil hospital COVID team, managing emergency cases and overseeing quarantine and isolation protocols. He has played a key role in supporting COVID-19 patients through structured treatment guidance and diet protocols, contributing to effective patient care during the pandemic.

This doctor is not available for online consultations on the platform anymore.

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