Prostate Cancer Treatments – A Comparison

The Birmingham Prostate Clinic is comprised of a multi-disciplinary team of specialists in prostate cancer. We are one of the few private clinics offering all of the established prostate cancer treatments.

We do not favour any single treatment but offer patients the opportunity to discuss all the appropriate options and choose the treatment best suited to their individual needs.

The comparison table available below has been created to support patients and their families. It should not replace a consultation with prostate cancer specialists, when options can be discussed in more detail, but is intended to support that process.

Radical prostatectomy

Over 90% likelihood of PSA less than 0.01 positive
Hormone manipulation negative
Less than 50% likelihood of erectile dysfunction at one year negative
Day case negative
Less than 90% likelihood of incontinence pads at six months negative
Minimal time off work negative
Overall ten year survival more than 80% positive
Use of radiation negative

Radical prostatectomy is the traditional open non-nerve sparing prostate surgery.


Laparoscopic prostatectomy

Over 90% likelihood of PSA less than 0.01 positive
Hormone manipulation negative
Less than 50% likelihood of erectile dysfunction at one year positive
Day case negative
Less than 90% likelihood of incontinence pads at six months positive
Minimal time off work positive
Overall ten year survival more than 80% positive
Use of radiation negative

The laporoscopic prostatectomy uses a minimally invasive 'keyhole' technique.


External beam radiotherapy

Over 90% likelihood of PSA less than 0.01 negative
Hormone manipulation positive
Less than 50% likelihood of erectile dysfunction at one year positive
Day case negative
Less than 90% likelihood of incontinence pads at six months positive
Minimal time off work negative
Overall ten year survival more than 80% positive
Use of radiation positive

External beam radiotherapy (also known as teletherapy), is the most frequently used form of radiotherapy, where an external source of radiation is focused at an affected part of the body.


Brachytherapy

Over 90% likelihood of PSA less than 0.01 negative
Hormone manipulation negative
Less than 50% likelihood of erectile dysfunction at one year positive
Day case positive
Less than 90% likelihood of incontinence pads at six months positive
Minimal time off work positive
Overall ten year survival more than 80% positive
Use of radiation positive

Brachytherapy involves the use of radioactive seeds to deliver radiotherapy directly into the cancerous prostate gland.


HIFU

Over 90% likelihood of PSA less than 0.01 negative
Hormone manipulation negative
Less than 50% likelihood of erectile dysfunction at one year positive
Day case positive
Less than 90% likelihood of incontinence pads at six months positive
Minimal time off work positive
Overall ten year survival more than 80% not applicable
Use of radiation negative

High Intensity Focused Ultrasound (HIFU) involves focusing a beam of ultrasound onto a tumour site. This beam heats and destroys cancer cells but passes easily through healthy tissue which is left unharmed.


Active monitoring

Over 90% likelihood of PSA less than 0.01 negative
Hormone manipulation not applicable
Less than 50% likelihood of erectile dysfunction at one year positive
Day case not applicable
Less than 90% likelihood of incontinence pads at six months positive
Minimal time off work positive
Overall ten year survival more than 80% not applicable
Use of radiation positive

Active monitoring involves the regular surveillance of your individual cancer risk, with intervention only carried when and if necessary.