Understanding Prostate Cancer
Prostate cancer is one of the most common cancers in men. The good news is that when caught early, most prostate cancers are highly treatable. At Riverstone Urology, Dr. Libby takes a personalized approach to screening and treatment, using the latest diagnostic tools and surgical techniques to provide you with the best possible outcomes.
Screening and Early Detection
Prostate cancer screening typically begins with a PSA (prostate-specific antigen) blood test and digital rectal exam. PSA is a protein produced by the prostate, and elevated levels may indicate cancer, though they can also be caused by benign conditions. Dr. Libby discusses screening benefits and risks with you to determine if testing is right for your age and risk factors. African American men and those with a family history of prostate cancer are at higher risk and may benefit from earlier screening conversations.
Diagnostic Tools: Going Beyond PSA
If PSA is elevated, Dr. Libby may recommend MRI imaging or a prostate biopsy to obtain a tissue diagnosis. Modern MRI-guided techniques allow for more precise targeting of suspicious areas, reducing unnecessary biopsies. If a biopsy is performed, pathologists grade the cancer using the Gleason score, which helps determine how aggressive the cancer is and guides treatment decisions.
Gleason Grading and Prognosis
The Gleason score ranges from 6 to 10, with higher scores indicating more aggressive cancer. Your score, combined with PSA level and staging, helps Dr. Libby recommend the best treatment approach for your specific situation. This personalized information allows you to make informed decisions about your care.
Treatment Options
Active Surveillance
For low-grade, slow-growing cancers, active surveillance is often appropriate. This means regular PSA testing, digital exams, and periodic biopsies to monitor the cancer rather than immediately pursuing surgery or radiation. Many men with low-risk cancers never need treatment, avoiding side effects while maintaining safety.
Robotic Prostatectomy
For men who need surgery, Dr. Libby specializes in robotic-assisted laparoscopic prostatectomy. This minimally invasive approach offers greater precision than traditional open surgery, resulting in less blood loss, smaller incisions, faster recovery, and better preservation of nerve function related to continence and sexual function. Robotic surgery allows Dr. Libby to operate with enhanced visualization and control, ensuring complete cancer removal while protecting surrounding tissue.
Radiation Therapy
External beam radiation and brachytherapy (internal radiation) are excellent options for many patients. These approaches are effective for localized cancers and may be combined with hormone therapy for more advanced disease. Dr. Libby works with radiation oncologists to ensure coordinated care.
Hormone Therapy
For more advanced cancers, hormone therapy slows or stops cancer growth by blocking testosterone. This may be used alone, combined with radiation, or in advanced disease.
What to Expect During Treatment
Whether you choose surgery, radiation, or surveillance, Dr. Libby provides detailed pre-treatment counseling about what to expect, potential side effects, and recovery timelines. After treatment, you'll have regular follow-up appointments and PSA testing to monitor for recurrence.
Your Prostate Cancer Care Team
Prostate cancer treatment often involves multiple specialists. Dr. Libby coordinates with radiation oncologists, medical oncologists, and other specialists to ensure you receive comprehensive, integrated care tailored to your diagnosis and preferences.
Next Steps
If you're concerned about prostate cancer risk or have been diagnosed with prostate cancer, schedule a consultation with Dr. Libby. We'll discuss your individual risk factors, review screening options, and develop a personalized care plan that aligns with your goals and values.