Treatment depends on many things, including your Gleason score and your overall health. Your doctor will discuss your treatment options.
If the cancer has not spread outside the prostate gland, common treatments include:
If you are older, your doctor may recommend simply monitoring the cancer with PSA tests and biopsies.
If the prostate cancer has spread, treatment may include hormone therapy (medicines to reduce testosterone levels). It may be used for all but the earliest stage of prostate cancer. It may be given before, along with, or after other treatments.
If prostate cancer spreads even after hormone therapy, surgery, or radiation has been tried, treatment may include:
- Immunotherapy (medicine to trigger the immune system to attack and kill cancer cells)
Surgery, radiation therapy, and hormone therapy can affect your sexual performance. Problems with urine control are possible after surgery and radiation therapy. Discuss your concerns with your health care provider.
After treatment for prostate cancer, you will be closely watched to make sure the cancer does not spread. This involves routine checkups, including PSA blood tests (usually every 3 months to 1 year).