Prostate cancer is one of the most commonly diagnosed cancers among men in Singapore, especially those over the age of 50. Early detection significantly improves the chances of effective treatment, but choosing the right course of action requires informed decision-making. A cancer doctor can help a patient understand the available treatment approaches and the potential risks and benefits. This guide outlines prostate cancer treatments in Singapore and explains how patients can approach their care journey with clarity and preparation.
Initial Assessment and Diagnosis
Once prostate cancer is suspected based on elevated PSA levels or abnormal physical exams, patients usually undergo a biopsy for confirmation. After diagnosis, staging tests such as MRI or bone scans help determine whether the cancer is localised, regionally advanced, or metastatic. These findings influence the treatment plan and guide discussions with a cancer specialist in Singapore. Early-stage cancers may not require immediate treatment, while more advanced cases will need active intervention. It is crucial to understand that not all prostate cancers grow at the same rate, and treatment must be tailored accordingly.
Active Surveillance for Low-Risk Prostate Cancer
For men with early-stage, low-risk prostate cancer, active surveillance may be the initial recommendation. This approach involves closely monitoring the cancer through regular PSA testing, digital rectal exams, and biopsies without starting treatment immediately. This is typically considered when the cancer is slow-growing and unlikely to spread quickly. A cancer doctor in Singapore will guide the patient through a monitoring schedule and determine if or when treatment becomes necessary. This option avoids unnecessary side effects from treatments while ensuring that any progression is detected early.
Surgical Treatments
Radical prostatectomy is a common surgical option for prostate cancer treatment in Singapore. It completely removes the prostate gland and surrounding tissues, if necessary. This procedure is most effective when the cancer is still confined to the prostate. Surgical options may include traditional open surgery or minimally invasive techniques such as robotic-assisted surgery. While surgery can be curative, it may lead to side effects such as urinary incontinence or erectile dysfunction, which should be discussed in advance with a cancer specialist.
Radiation Therapy Options
Radiation therapy is a non-surgical alternative to treat localised or locally advanced prostate cancer. It includes external beam radiation therapy (EBRT) and brachytherapy, where radioactive seeds are placed inside the prostate. A cancer doctor in Singapore specialising in radiation oncology will assess the most suitable method based on the cancer’s stage and the patient’s health condition. They can also use radiation post-surgery to eliminate residual cancer cells or in combination with hormone therapy for more aggressive cancers.
Hormone and Systemic Therapies
Hormone therapy, or androgen deprivation therapy (ADT), works by lowering testosterone levels to slow or stop cancer growth. This treatment is commonly used for advanced prostate cancer or when combined with radiation. It may also be used before surgery or radiation to shrink the tumour. Other systemic treatments include chemotherapy or newer hormone-blocking medications, particularly for metastatic cases. A cancer specialist in Singapore can recommend a suitable sequence or combination of therapies based on disease progression and response.
Supportive Care and Ongoing Monitoring
After primary treatment, patients undergo regular follow-up appointments to monitor for signs of recurrence. Follow-up care includes PSA testing, physical examinations, and imaging if necessary. In cases of recurrence, patients can consider radiation, surgery, or additional hormonal therapies. Supportive care services, including nutritional advice and counselling, are also part of comprehensive cancer treatment in Singapore. Patients are encouraged to maintain open communication with their care team and to raise any concerns promptly.
Conclusion
Managing prostate cancer requires a well-informed approach tailored to each patient’s diagnosis and overall health. By consulting a qualified cancer doctor in Singapore and exploring treatment options with a cancer specialist, patients can make decisions that align with their medical needs and personal preferences. With advancements in diagnosis and therapy, prostate cancer can be effectively managed when addressed early and systematically.
If you’re navigating prostate cancer care, contact Dr Johann Tang to explore your treatment options.
