I have early-stage prostate cancer. Should I consider surgery?

Question

Hello doctor,

I am 62 years old and was recently diagnosed with early-stage prostate cancer. My doctor recommended active surveillance since my PSA levels are relatively low, but I am concerned about whether I should consider surgery or radiation instead.

Can you give your suggestions on:

How effective is active surveillance, and what is the risk of the cancer spreading if I opt for monitoring rather than more aggressive treatment?
Are there any lifestyle changes I should make to help manage the condition?
How frequently will I need to see my doctor for tests or scans during this time?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

To maintain a healthy lifestyle, you must eat a balanced diet, exercise regularly, drink enough water, maintain a healthy weight, get sufficient sleep, and avoid unhealthy habits like excessive alcohol, drug use, overeating, or gambling. These simple habits go a long way in supporting your overall health.

A few factors can increase the risk of prostate-related conditions for you. These include

Being over 50 years of age.
Having a family history of prostate problems.
Obesity.
Hormonal influences.
Long-term prostate inflammation (prostatitis).

To understand your condition better, I suggest you get investigations such as a prostate biopsy, imaging, and blood tests may be necessary.

The symptoms you describe could also be linked to several other conditions, including benign prostatic hyperplasia (a non-cancerous enlargement of the prostate), prostatitis, urethral narrowing, urinary tract infection, overactive bladder, bladder cancer, kidney cancer, kidney stones, cystitis, or even glomerulonephritis.

Based on the information available, the most likely cause is benign prostatic hyperplasia. A treatment approach often suggested in such cases includes:

Conium 30C (10 pills at night).
Baryta Carb 30C (10 pills in the morning).
Sabal Serulata mother tincture (10 drops in water three times daily).

I suggest you consult your doctor before starting any medication.

I hope this helps.

Thank you