Living with prostate cancer
Thanks to advances in diagnostics and treatments, you may live with your prostate cancer for many years. Depending on the stage of your prostate cancer, your chances of living for over 5 years after your diagnosis are over 95%.
However, being diagnosed with any kind of cancer can be overwhelming. You might be left with lots of questions about your options. Your medical team can advise you on their recommendations, but it’s important you consider what is important to you.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Mr Alan Doherty Do only old men get prostate cancer
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Prostate Cancer
SUMMARY
Mr. Alan Doherty (Consultant Urologist, The Focal Therapy Clinic): Prostate cancer is rare under 40 but occurs in all age groups above this. Since it can take time to become aggressive, age is an important factor in treatment decisions. Understanding the risks and timelines can help patients make informed choices about their care.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Mr Marc Laniado How many people are diagnosed with prostate cancer every year
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Prostate Cancer
SUMMARY
Mr. Marc Laniado (Consultant Urologist, The Focal Therapy Clinic): Around 55,000 men are diagnosed with prostate cancer annually in the UK, marking a 40% increase since the 1990s. With cases expected to rise by another 15% in the coming years, awareness and early detection remain critical in improving outcomes.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Mr Alan Doherty Is prostate cancer a 'good' cancer to get
00:00:51
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Prostate Cancer
SUMMARY
Mr. Alan Doherty (Consultant Urologist, The Focal Therapy Clinic): Not all prostate cancers are life-threateningonly those that have learned to spread. If caught early, prostate cancer can be cured, allowing for effective treatment and long-term health. Early detection remains key to successful outcomes.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Dr Christos Mikropoulos What is the prognosis for prostate cancer
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Prostate Cancer
SUMMARY
Dr. Christos Mikropoulos (Oncologist, The Focal Therapy Clinic): Early diagnosis is key in prostate cancer. When caught early, patients are often cured and have a normal life expectancy. However, late diagnosis still allows for long-term control but not a cure, making timely screening essential.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Mr Alan Doherty What are the symptoms of prostate cancer
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Prostate Cancer
SUMMARY
Mr. Alan Doherty (Consultant Urologist, The Focal Therapy Clinic): Early-stage prostate cancer usually has no symptoms. Once it spreads, it can cause bone pain, fractures, or kidney issues if lymph nodes are affected. This highlights the importance of early detection and regular screening.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Mr Marc Laniado What is a prostate cancer lesion
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Prostate Cancer
SUMMARY
Mr. Marc Laniado (Consultant Urologist, The Focal Therapy Clinic): A lesion is an abnormal area in the prostate, but not all lesions are tumors. Some may be benign (non-cancerous), while others are cancerous. Proper evaluation through imaging and biopsy is essential for accurate diagnosis and treatment planning.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Dr Christos Mikropoulos What is advanced prostate cancer
00:00:28
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Prostate Cancer
SUMMARY
Dr. Christos Mikropoulos (Oncologist, The Focal Therapy Clinic): Advanced prostate cancer can be locally advanced or metastatic. Locally advanced cancer spreads to lymph nodes or seminal vesicles, while metastatic cancer spreads to bones or other organs. Understanding the stage of cancer is crucial in determining the best treatment approach.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Mr Marc Laniado What is the prostate and what does it do
00:00:28
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Prostate Cancer
SUMMARY
Mr. Marc Laniado (Consultant Urologist, The Focal Therapy Clinic): The prostate gland surrounds the urethra and plays a key role in semen production. It nourishes sperm and aids ejaculation, but it is not essential for urinary control or erectile function. Understanding its role helps men make informed decisions about prostate health and treatment options.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Mr Raj Nigam What are the treatment options for prostate cancer
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Prostate Cancer
SUMMARY
Mr. Raj Nigam (Consultant Urologist, The Focal Therapy Clinic): Prostate cancer is classified as localized, locally advanced, or advanced. Focal therapy is suitable for early localized cases, with treatment options including HIFU, cryotherapy, and NanoKnife. Choosing the right treatment depends on cancer stage and individual patient factors.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Dr Christos Mikropoulos Are black men more likely to get prostate cancer
00:00:27
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Prostate Cancer
SUMMARY
Dr. Christos Mikropoulos (Oncologist, The Focal Therapy Clinic): Black men are twice as likely to develop prostate cancer as white men, with 1 in 4 at risk. Family history further increases the risk, making PSA screening and proactive health checks essential for early detection and better outcomes.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Mr Raj Nigam Do I need treatment for my prostate cancer
00:01:37
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Prostate Cancer
SUMMARY
Mr. Raj Nigam (Consultant Urologist, The Focal Therapy Clinic): The decision to treat prostate cancer depends on risk categorization. Gleason 6 (Grade Group 1) is usually monitored, while Gleason 7 (3+4) or higher typically requires treatment, balancing cancer control with quality of life.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Dr Christos Mikropoulos How long can I live with prostate cancer
00:00:23
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Prostate Cancer
SUMMARY
Dr. Christos Mikropoulos (Oncologist, The Focal Therapy Clinic): Life expectancy with prostate cancer depends on the stagelocalized cancer often allows for a normal lifespan, while advanced cases may shorten life expectancy. However, many men live for years even with metastases, thanks to modern treatments and ongoing medical advancements.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Dr Christos Mikropoulos Is prostate cancer genetic
00:00:51
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Prostate Cancer
SUMMARY
Dr. Christos Mikropoulos (Oncologist, The Focal Therapy Clinic): Most prostate cancer cases are not genetic, but family history and BRCA mutations can double the risk, especially in younger men and aggressive cases. Understanding genetic factors can help guide screening and early detection strategies.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Mr Alan Doherty Is prostate cancer curable
00:00:26
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Prostate Cancer
SUMMARY
Mr. Alan Doherty (Consultant Urologist, The Focal Therapy Clinic): Prostate cancer is highly curable if it hasnt spread. Cancer is only potentially lethal once it spreads, but it usually takes time to do so, allowing for effective treatment and cure when detected early.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Dr Christos Mikropoulos Can I prevent prostate cancer
00:00:27
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Prostate Cancer
SUMMARY
Dr. Christos Mikropoulos (Oncologist, The Focal Therapy Clinic): A healthy lifestyle may reduce prostate cancer risk, but it cannot be completely prevented. Regular exercise, weight management, and healthy habits can help lower risk and support overall well-being, making proactive health choices essential.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Dr Christos Mikropoulos What is radiotherapy for prostate cancer
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Prostate Cancer
SUMMARY
Dr. Christos Mikropoulos (Oncologist, The Focal Therapy Clinic): Radiotherapy is a widely used prostate cancer treatment, utilizing precision-shaped photon beams to target cancer while minimizing harm to surrounding tissues. This advanced approach ensures effective cancer control with reduced side effects.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Mr Marc Laniado Does focal therapy cure cancer
00:00:31
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Prostate Cancer
SUMMARY
Mr. Marc Laniado (Consultant Urologist, The Focal Therapy Clinic): Focal therapy is highly effectivefor every five men treated, four will not require further major treatment. Only one in five may eventually need surgery or radiotherapy, making focal therapy a minimally invasive and long-term option for prostate cancer management.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Mr Alan Doherty Should you have your PSA measured
00:01:08
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Prostate Cancer
SUMMARY
Mr. Alan Doherty (Consultant Urologist, The Focal Therapy Clinic): PSA testing provides useful information, but anxiety over high results is common. A high-quality MRI can help clarify risks, and monitoring PSA over time ensures a more accurate assessment before deciding on further tests or treatment.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Dr Christos Mikropoulos Is a PSA test reliable
00:00:24
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Prostate Cancer
SUMMARY
Dr. Christos Mikropoulos (Oncologist, The Focal Therapy Clinic): PSA tests are highly sensitive and specific, but not perfect. Their accuracy improves when interpreted by specialists who understand their limitations and context, ensuring the most reliable diagnosis and appropriate next steps.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Dr Christos Mikropoulos What is watchful waiting
00:00:29
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Prostate Cancer
SUMMARY
Dr. Christos Mikropoulos (Oncologist, The Focal Therapy Clinic): Watchful waiting is used when prostate cancer cannot be cured, focusing on symptom management rather than aggressive treatment. This approach helps avoid unnecessary side effects while maintaining the best possible quality of life for patients.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Dr Christos Mikropoulos Is chemotherapy used for prostate cancer
00:00:19
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Prostate Cancer
SUMMARY
Dr. Christos Mikropoulos (Oncologist, The Focal Therapy Clinic): Chemotherapy is used for advanced or metastatic prostate cancer, not for localized cases. Patients eligible for focal therapy do not require chemotherapy, as their treatment targets the cancer while preserving healthy tissue and function.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Mr Raj Nigam Why have I been put on watchful waiting
00:01:14
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Prostate Cancer
SUMMARY
Mr. Raj Nigam (Consultant Urologist, The Focal Therapy Clinic): Watchful waiting is typically recommended for men over 80, while active surveillance applies to younger patients with low-risk prostate cancer. However, fit older men can still benefit from focal therapy if they are suitable candidates, offering a minimally invasive treatment option.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Brachytherapy for prostate cancer
00:00:24
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Prostate Cancer
SUMMARY
Dr. Christos Mikropoulos (Oncologist, The Focal Therapy Clinic): Brachytherapy is internal radiotherapy, using radioactive seeds implanted in the prostate to deliver targeted treatment while minimizing damage to surrounding tissues. This precise approach helps reduce side effects compared to external beam radiotherapy.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Is focal therapy effective against prostate cancer?
00:01:07
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Prostate Cancer
SUMMARY
Mr. Raj Nigam (Consultant Urologist) & Dr. Christos Mikropoulos (Consultant Oncologist) The Focal Therapy Clinic: Focal therapy is as effective as radical prostatectomy at 8 years, with lower incontinence rates (less than 2%) and most men remaining disease-free while avoiding radical treatment. This minimally invasive approach offers excellent cancer control while preserving quality of life.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Do more black men get prostate cancer?
00:00:27
Playlist
Prostate Cancer
SUMMARY
Dr. Christos Mikropoulos (Oncologist, The Focal Therapy Clinic): Black men are twice as likely to develop prostate cancer as white men, with 1 in 4 at risk. A family history further increases the risk, making PSA screening and proactive health checks essential for early detection and better treatment outcomes.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
What is the prostate and what does it do?
00:00:28
Playlist
Prostate Cancer
SUMMARY
Mr. Marc Laniado (Consultant Urologist, The Focal Therapy Clinic): The prostate gland surrounds the urethra, is about the size of a walnut, and plays a vital role in reproductive health. It produces semen to nourish sperm and aid fertilization, while also playing a key role in ejaculation during orgasm.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Can young men get prostate cancer?
00:00:35
Playlist
Prostate Cancer
SUMMARY
Mr. Alan Doherty (Consultant Urologist, The Focal Therapy Clinic): Prostate cancer is rare under 40 but can occur in all men over that age. Since it often develops slowly, age is an important factor in treatment decisions. Understanding risk factors and screening options ensures early detection and better outcomes.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Why you need a prostate cancer second opinion
00:01:12
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Prostate Cancer
SUMMARY
Mr. Raj Nigam (Consultant Urologist, The Focal Therapy Clinic): Getting a second opinion helps explore all treatment options, not just surgery or radiotherapy. Our multidisciplinary team (MDT) includes top specialists who ensure patients receive the best, most personalized advice tailored to their diagnosis and priorities.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.
Active surveillance and watchful waiting
If your cancer is diagnosed early or is very slow growing, your doctor might decide it doesn’t need treatment straight away. Instead, you will have regular PSA tests and MRI scans to monitor how your cancer is developing. If any changes are detected, you may need a biopsy to confirm them (transperineal or transrectal). An active surveillance or watchful waiting approach has been championed because it can reduce ‘unnecessary’ radical treatments that can lead to major side effects. However, many people find that knowing they have cancer causes severe anxiety.
“my doctor….pushed back on me having a PSA test. I pushed back on him and said, well, actually, from what I’ve read, it says that family history is significant. So he conceded and I had a PSA test, and that was all normal…..I got to 54 [and my] PSA level started to go up.”
Alphonso Archer
The Focal Therapy Clinic patient
Lost in prostate speak?
Not familiar with this? Head to our podcasts to help you understand the terminology
PSA tests
PSA, or prostate-specific antigen, is a protein produced by your prostate gland. Everyone with a normal prostate will have a small amount of PSA in their bloodstream, but elevated levels can indicate prostate problems, including cancer. To check your PSA level, your doctor will take a small blood sample and send it to a lab to be measured.
Regular PSA tests will show any increases from your normal level and show more accurately if there could be a problem. If your PSA is found to be increasingly rapidly, or is over 4, you are likely to be referred for an MRI to investigate further. If you are on active surveillance, you may have PSA tests every 3-6 months.
MRI scans
You should have had a magnetic resonance image (MRI) scan when you were first diagnosed to look for any abnormalities in your prostate, if your PSA was found to be rising. If any cancer is found on your MRI, it will be used to guide your biopsy and diagnose your cancer more reliably. An MRI scan uses magnetism and radio waves to make a picture of the inside of your body.
mpMRI
A multiparametric MRI, also called a prostate MRI, combines 4 different images to make a very high-quality image of your prostate cancer. This provides your specialist even more information than a normal MRI. Approximately 80% of hospitals in UK now have access to mpMRI scans for enhanced imaging and target biopsies. However, not all hospitals are offering a full mpMRI; many offer a biparametric scan, which is less definitive. Learn more about MRIs for prostate cancer.
Biopsies
Finding cancerous tissue via a biopsy is needed to definitively diagnose prostate cancer. All biopsies used to be conducted transrectally; this means a thin needle is used to collect tissue samples through the rectum. It’s usually done under local anaesthetic, so you are awake during the procedure. Many people find transrectal biopsies painful and there is a strong risk of infection.
Now, NICE recommends that transperineal biopsies are used to diagnose and monitor prostate cancer. The needle enters through the skin between the scrotum and rectum. Compared with transrectal biopsies, they are as accurate but have a much lower risk of infection and sepsis.
NHS hospitals will often perform biopsies under local anaesthetic, which can be painful. If you have a biopsy done privately, you will have the option for it to be done under general anaesthetic, which allows for significantly improved accuracy and enhanced patient comfort.
Fusion biopsies are another way that biopsies have been made less painful, safer and more useful. Your MRI scan is combined with a real-time ultrasound so only the suspicious areas are biopsied.
Any questions?
If you’ve got any questions about your prostate cancer diagnosis or want to know more about HIFU or NanoKnife, don’t hesitate to get in touch with our friendly, knowledgeable team.
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