Active surveillance tends to be used for unaggressive cancer (eg a small Gleason score 6 cancer)        

Your doctor will actively watch your cancer for signs of growth

You will have a baseline MRI scan (which you may already have had at diagnosis)

You will have a digital rectal examination at 6-12 month intervals

You will have blood tests every 3-6 months to measure your PSA levels

You will have a biopsy or MRI scan every 12 months

If the cancer isn’t growing, you can continue on active surveillance

If the cancer is growing, you can have surgery or radiotherapy



You won’t have the side effects of surgery or radiotherapy

Active surveillance should not interfere with your lifestyle


You will need to be able to cope with knowing your cancer is still present

You will have lots of tests