Active Surveillance is a patient-centric approach to managing prostate cancer, particularly for men diagnosed with low-risk, slow-growing forms of the disease. Dr. Ali Afshar, a premier Prostate Cancer Specialist in Los Angeles, advocates for Active Surveillance as a strategic option for patients aiming to avoid or delay the side effects associated with more aggressive treatments. Through meticulous monitoring, Dr. Afshar and his team ensure that any changes in the cancer’s status are identified early, enabling timely intervention when necessary.
Understanding Active Surveillance
Active Surveillance involves regular check-ups, including prostate-specific antigen (PSA) tests, digital rectal exams (DRE), and occasionally, repeat biopsies to closely monitor the prostate cancer. This approach is based on the understanding that some prostate cancers grow very slowly and may not pose a significant threat to the patient’s health during their lifetime.
The Goal of Active Surveillance for Prostate Cancer
The primary goal of Active Surveillance is to manage low-risk prostate cancer by keeping a close watch on the disease’s progression without immediately resorting to radical treatments such as surgery or radiation. This strategy allows patients to maintain their quality of life, avoiding the potential side effects of more invasive treatments until they are absolutely necessary.
Criteria for Active Surveillance
Not all patients with prostate cancer are candidates for Active Surveillance. Dr. Afshar evaluates patients based on several criteria, including:
- Gleason score (a grading system used to evaluate the prognosis of prostate cancer)
- PSA levels and rate of increase
- Tumor stage and volume
- Overall health and life expectancy
Our Prostate Monitoring Process in Los Angeles
Patients under Active Surveillance will undergo a series of regular tests and evaluations to monitor the cancer closely:
PSA Test
Typically performed every 3 to 6 months to measure the level of prostate-specific antigen in the blood.
Digital Rectal Exam (DRE)
Conducted annually to physically examine the prostate for any changes in size or texture.
Prostate Biopsy
Repeated periodically, often every 1 to 3 years, to assess the cancer’s growth and check for any increase in aggressiveness.
When to Consider Treatment
While Active Surveillance is an effective management strategy for many men, treatment may become necessary if:
- PSA levels rise significantly
- The Gleason score increases, indicating a more aggressive cancer
- The patient prefers to pursue active treatment for personal reasons
Meet Dr. Ali Afshar
Dr. Ali Afshar, a board certified urologist, has been providing exceptional urological care in the San Fernando Valley since 2017. As a vital member of the San Fernando Valley Urological Associates Medical Group, he operates out of the group’s office in Beverly Hills, California. In addition to his clinical practice, Dr. Afshar serves as an attending urologist at Cedars Sinai Medical Center, where he is actively involved in teaching and mentoring the next generation of urologists through the current urology residency program.
Find Out MoreBenefits of Active Surveillance
Avoidance of Treatment Side Effects
By delaying or avoiding surgery or radiation, patients can prevent the side effects associated with these treatments, such as urinary incontinence and erectile dysfunction.
Maintained Quality of Life
Patients can continue their normal activities and lifestyle without the interruptions that come with more aggressive treatment plans.
Informed Decision-Making
Regular monitoring provides detailed information about the cancer’s progression, allowing for informed decisions about when or if to begin treatment.
Dr. Ali Afshar’s approach to Active Surveillance for Prostate Cancer emphasizes patient education, empowerment, and personalized care. By choosing Active Surveillance, patients entrust their care to a vigilant monitoring plan, ensuring that any necessary treatment is timely and tailored to their specific condition.
Schedule an Appointment our Beverly Hills clinic today to learn more.