Active Surveillance

The concept of active surveillance, or watchful waiting, has increasingly emerged in recent years as a viable option for men who decide not to undergo immediate surgery or radiation therapy.

During active surveillance, prostate cancer is carefully monitored for signs of progression. A PSA blood test and digital rectal exam (DRE) are usually administered periodically along with a repeat biopsy of the prostate at one year and then at specific intervals thereafter. If symptoms develop, or if tests indicate the cancer is growing, treatment might be warranted.

When to Choose Active Surveillance

Current best estimates indicate that many more men are treated for prostate cancer aggressively than is likely necessary to save a life from the disease. The challenge has been to identify those men who do not need immediate therapy, which is usually decided based on age, comorbidities, and cancer factors like the PSA, stage, amount of cancer in the biopsy, and Gleason grade. Research is ongoing to develop biomarkers and additional tests that can better risk stratify men so that this decision is easier and more accurately informed.

Today, the healthy man who is ideal for active surveillance has a low grade (Gleason 6 or under), low-risk prostate cancer (low PSA and stage), that appears to be low in volume (small amount of cancer found on biopsy, for example), and who is not eager to undergo therapy right away due to concerns about potency preservation or urinary symptoms.

Active surveillance might also be a good choice for older men with limited life expectancy. In addition, if a man is currently battling other serious disorders or diseases, such as heart disease, long-standing high blood pressure, or poorly controlled diabetes, his doctors might feel it is in his best interest to hold off on therapy and avoid its potential complications.

That’s because many of the treatment options for prostate cancer can be difficult to endure, and better outcomes are seen in men who are otherwise healthy.

Meet Our Doctors

The urologists in Uromedix are active participants in medical research. They are devoted to advancing the field of knowledge so new understanding and treatments become available to all of us in the future. Without research, there would be no progress in urology.


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Medical Services

We offer not only state of the art in treatment options, but we also provide a superior patient experience. Our physicians have expertise in the latest urologic surgical procedures including: Robotic Prostatectomy, also known as the Da Vinci Prostatectomy, for the treatment of localized prostate cancer; Green Light PVP laser technology and TUMT procedure for Benign Prostatic Hypertrophy (BHP); no-scalpel vasectomy for male sterilization, as well as laparoscopic and minimally-invasive renal surgery and adrenal surgery.


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Contact Us

Address: 21150 Biscayne Blvd Suite 404
  Aventura, FL 33180
Telephone: (305) 466-9111
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