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

Question

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.

Answer 1

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.