Skip to content
    Font Size
    A
    A
    A

    Prostate Cancer, Advanced or Metastatic - When To Call a Doctor

    Call your doctor immediately if you:

    • Are completely unable to urinate.
    • Have painful urination and a fever higher than 100°F (37.78°C), chills, or body aches.
    • Have blood or pus in your urine or semen.

    Call your doctor to schedule an appointment if you have unexplained:

    Recommended Related to Prostate Cancer

    Prostate Cancer: When Treatment Can Wait

    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 it gets worse. This approach is known as active surveillance or watchful waiting. Your doctor may have suggested these options instead of other treatment for a few reasons: Your age Other health conditions you have, such as heart disease, diabetes, or long-lasting high blood pressure Risks and side effects...

    Read the Prostate Cancer: When Treatment Can Wait article > >

    • Weight loss.
    • Dull, aching pain in your lower back, pelvis, or hips.
    • Swollen lymph nodes in the groin area. These nodes are usually not tender.

    Active surveillance or watchful waiting

    Active surveillance means a man will be watched closely by his doctor and have regular checkups and tests, including prostate biopsies. If the cancer starts to grow more quickly, he will have other treatment.

    Active surveillance is an option for men with low-risk cancer who expect to live more than 10 years and don't have other chronic health problems. It may be an option for some men with intermediate-risk prostate cancer. But active surveillance usually is not a choice when prostate cancer has spread.

    Sometimes men who have PSA levels that are rising slowly after having treatment may not start hormone treatments right away but be monitored with active surveillance.

    Watchful waiting means a man will be watched closely by his doctor but not have treatments that try to get rid of the cancer. If an older man has serious health problems and isn't expected to live more than 10 years, he may not be able to handle treatments or even want to have treatments except those needed to keep him comfortable (palliative care).

    Who to see

    Doctors who can treat locally advanced and metastatic prostate cancer include:

    To prepare for your appointment, see the topic Making the Most of Your Appointment.

    WebMD Medical Reference from Healthwise

    Last Updated: November 14, 2014
    This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
    1
    Next Article:

    Today on WebMD

    man with doctor
    Symptoms, risks, treatments
    man coughing
    Men shouldn’t ignore
     
    prostate cancer cells
    What does this diagnosis mean?
    doctor and male patient
    Is it worth it?
     
    cancer fighting foods
    SLIDESHOW
    15 Cancer Symptoms Men Ignore
    FEATURE
     
    Prostate Enlarged
    VIDEO
    Picture Of The Prostate
    ANATOMY
     
    Prostate Cancer Quiz
    QUIZ
    screening tests for men
    SLIDESHOW
     
    Prostate Cancer Symptoms
    VIDEO
    Vitamin D
    SLIDESHOW