Prostate Cancer Treatment Options

If your diagnosis is prostate cancer, we’ll work closely with you to develop an individualized treatment plan. We take a precision medicine approach designed for the biology of your specific type and stage of prostate cancer. This highly targeted approach aims to reduce side effects and preserve your function while successfully treating your prostate cancer. 

 

Active Surveillance OfficeActive Surveillance

We know that not all prostate cancers act the same. Some types are not as aggressive or likely to spread. Thanks to advanced diagnostics available at Hackensack Meridian Health, we can identify if your cancer is lower risk. If that is the case, you may be recommended for active surveillance.

Our urology team is highly experienced in managing patients with active surveillance. We continue to track patient outcomes for as long as 20 years through an ongoing study. 

 

Active Surveillance for men with low-risk prostate cancer means you defer treatments such as surgery and radiation, sparing you the possible risks or side effects. You are monitored closely for changes in your cancer. Treatment is always an option in the future if your cancer status changes. 

Thanks to advancements in biomarker testing and prostate imaging, our doctors can accurately determine if you are a candidate for active surveillance. You also may be offered an additional genetic test that helps determine if your cancer is likely to spread.

We follow evidenced-based guidelines for active surveillance which include regular PSA and biomarker testing, physical exam and prostate MRI. Based on those results, you also may undergo MRI-targeted fusion biopsies, if recommended.  

Surgery

Based on your MRI images and biopsy results, your care team may recommend surgery for your prostate cancer. Surgery at Hackensack Meridian Health is tailored to each individual patient. The size, location, type and grade of cancer help determine the best surgical approach. Surgery involves removing the entire prostate gland, seminal vesicles and, in some cases, the nearby lymph nodes. Our surgeons are pioneers in minimally invasive robotic surgery and focal therapy.

"Having cancer is a very scary thing, and the way the people treat you here made me feel at ease"

— Mark Saczawa, Wantage, N.J.

Robotic Prostate Surgery

Based on your MRI images and biopsy results, your care team may recommend surgery for your prostate cancer. Surgery at Hackensack Meridian Health is tailored to each individual patient. The size, location, type and grade of cancer help determine the best surgical approach.  Surgery involves removing the entire prostate gland, seminal vesicles and, in some cases, the nearby lymph nodes. Our surgeons are experts in many different surgical approaches, including open surgery and minimally invasive surgery. However, for certain patients, minimally invasive robotic surgery may be the best option. 

Learn more about Robotic Surgery.

Single Port Robotic Surgery

Our surgeons have taken robotic prostate cancer surgery one step further by developing a single-port approach, which means all surgical tools and camera are inserted through a single incision.
Hackensack University Medical Center was among the first hospitals in the world — and the first in New Jersey — to use the da Vinci SP® single-port robotic surgery system for urologic surgeries.
 
Compared to traditional surgery, prostate removal with the da Vinci SP® single-port robotic surgery system offers:
  • One incision, and less tissue damage
  • Increased precision and flexibility for complex surgeries
  • Decreased blood loss, reduced need for transfusions, and less risk of infection
  • Less pain after surgery
  • Smaller external and internal scars
  • Shorter hospital stay
  • Faster recovery and return to normal activities

"We are one of the first 10 programs in the world to bring in the single-port robot...over the last 2 years we have performed over 400 surgeries."

Dr. Michael Stifelman, M.D. Chair of Urology HUMC

Why Choose Hackensack Meridian Health for Robotic Prostate Surgery?

  • Performed nearly 2,000 robotic prostate cancer surgeries in the last six years — more than any other center in New Jersey. 
  • Six dedicated robotic urological systems, including New Jersey’s first da Vinci SP® single-port robot.
  • Hackensack University Medical Center was among the first hospitals in the world to use the da Vinci SP® single-port robotic surgery system for urologic surgeries.
  • More than 775 robotic procedures a year, and more than 5,000 in the past decade performed at Hackensack University Medical Center.
  • More than 90 percent of major urology surgeries at Hackensack University Medical Center use robotic technology.
  • Our urologists publish robotic surgery studies in academic journals and present at international conferences.

Prostate-Cancer-Success

 

Additional Treatment Options

We offer the full range of minimally invasive, focal therapies as an alternative to surgery. Focal therapy destroys cancerous prostate tissue with extreme precision while sparing healthy tissue. This approach has a low complication rate and is done with general or spinal anesthesia in an outpatient setting. 

Focal Therapy for prostate cancer includes:

  • High-intensity focused ultrasound (HIFU): A thermal, burning effect generated by high-intensity ultrasound waves 
  • Cryoablation: A freezing and thawing process to destroy cancerous prostate tissue
 

Radiation therapy for prostate cancer delivers high-dose energy beams or radioactive seeds to your prostate. Which radiation therapy is right for you is determined by our radiation oncology team based on your type of cancer. Radiation therapy is offered for all stages of cancer and can be administered in conjunction with hormone treatment.   

External Beam Radiation (EBRT): This form of therapy delivers radiation on its own or in combination with brachytherapy. There are three main types of EBRT for prostate cancer:

  • Intensity-Modulated Radiation Therapy (IMRT): IMRT uses computer programs to treat a tumor from multiple angles while minimizing risk of high-dose radiation to adjacent healthy tissue.
  • Stereotactic Body Radiation Therapy (SBRT): SBRT provides high doses per treatment that are precisely targeted. Treatment can be delivered in as few as five sessions.
  • Proton Therapy: Unlike the EBRT techniques described above, which use x-rays, protons are different because they deposit most of their energy over a shorter distance. This decreases radiation dose to nearby tissue while effectively targeting the tumor.

Brachytherapy: This involves implanting tiny radioactive seeds or wire into tumor tissue. 

Learn More

Depending on your type and stage of prostate cancer, systemic therapy may be the first course of treatment or used in addition to other treatments. These anti-cancer medications include anti-androgen therapy, IV chemotherapy and immunotherapy.

Our team of doctors works with  medical oncology and radiation oncology colleagues at the John Theurer Cancer Center to determine if systemic therapy is appropriate for your individualized treatment plan. 

If you have been treated for localized prostate cancer and have had your cancer return, the experts at the Hackensack Meridian Health specialize in treating recurrent prostate cancer. 

We may recommend additional tests such axumin PET scan, 3-Tesla MRI, MRI-targeted fusion biopsy or genetic tumor profiling to enhance your diagnosis. Our multidisciplinary team meets to discuss your case and identify any new systemic therapies or clinical trials of novel agents. 

 
Our Doctors

Our award winning team of renowned surgeons, physicians, researchers and other health care specialists are able to provide you with exceptional urological expertise, advancements and cutting-edge technology to develop a highly- personalized plan for each and every one of our patients.

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