Prostate cancer: diagnosis and management

National Institute for Health and Care Excellence

This Guidelines summary provides the recommendations that are relevant to primary care. Please refer to the full guideline for the complete list of recommendations

Low-risk localised prostate cancer

Active surveillance

  • Offer active surveillance as an option to men with low-risk localised prostate cancer for whom radical prostatectomy or radical radiotherapy is suitable
  • Consider using the protocol below for men who have chosen active surveillance:
    • Year 1 of active surveillance; every 3–4 months, measure prostate-specific antigen (PSA)
    • Years 2–4 of active surveillance; every 3–6 months, measure PSA
    • Year 5 and every year thereafter until active surveillance ends: every 6 months, measure PSA

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