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Prostate cancer often grows very slowly, so some men may never need treatment. Learn more about other treatment options known as watchful waiting or active surveillance. Skip to main content
The goal of watchful waiting is to observe the prostate cancer until it has metastasized (spread to distant sites) or started to cause symptoms such as pain or blockage of the urinary tract. At that point, patients may choose treatment.
4 min read. Prostate cancer can grow very slowly. In some men, it can grow so slowly they may never need treatment. But doctors still want to keep an eye on the cancer so they can take action if...
Your doctor might use active surveillance to monitor you if you’ve been diagnosed with prostate cancer that doesn't need treatment straight away. Or they might use watchful waiting.
Watchful waiting is a way of monitoring prostate cancer that isn't causing any symptoms or problems. The aim is to keep an eye on the cancer over the long term, and avoid treatment unless you get symptoms.
Between 1989 and 1999, we randomly assigned 695 men with early prostate cancer to watchful waiting or radical prostatectomy and followed them through the end of 2012.
Active surveillance for prostate cancer is used to avoid treatment side effects when the risk of the prostate cancer progressing is very low. Because prostate cancer grows very slowly, some very small cancers may never cause signs and symptoms.
But some men are candidates for active surveillance – also known as “watchful waiting.” Prostate cancer patients on active surveillance have routine appointments with their care team to monitor the prostate cancer.
A new study based on the largest-ever clinical trial comparing prostate cancer surgery with a strategy known as “watchful waiting” shows that surgery can be safely avoided for some men with early stage prostate cancer.
Another alternative to immediate treatment is “watchful waiting,” simply waiting for symptoms before pursuing any further testing or treatment. But because prostate cancer can be deadly once it spreads beyond the prostate, use of watchful waiting in men with low-risk prostate cancer has been limited.