Why Do Some Doctors Recommend Active Surveillance Instead of Immediate Treatment for Prostate Cancer
                     Why Do Some Doctors 
Recommend Active 
Surveillance Instead 
of Immediate 
Treatment for Prostate 
Cancer?
By Dr. Amitabh Singh
Best Uro Oncologist | Uro Onco Surgeon | 
Robotic Prostate Cancer in Delhi
9911372499 urooncologistdramitabh.com
WHAT IS ACTIVE 
SURVEILLANCE?
• A strategy where no immediate treatment is 
given.
• Cancer is closely monitored with tests and 
scans.
• Goal: Avoid unnecessary side effects while 
keeping a close watch.
• Often used for slow-growing prostate 
cancers.
Dr. Amitabh Singh| MS( General Surgery) 
MCh(Urology) MBBS
Rajiv Gandhi Cancer Institute and Research Centre, Rohini
991137249 urooncologistdramitabh.com
9
WHY CHOOSE 
ACTIVE 
S• SUlowR gVroEwtIhL – LMaAnyN prCosEtat?e cancers 
may never cause symptoms.
• Quality of life – Avoids side effects of 
surgery or radiation.
• Low risk – Suitable for small, localized 
tumors.
• Treatment flexibility – Can switch to 
active treatment if cancer changes.
Dr. Amitabh Singh| MS( General Surgery) 
MCh(Urology) MBBS
Rajiv Gandhi Cancer Institute and Research Centre, Rohini
991137249 urooncologistdramitabh.com
9
WHO IS IT 
RECOMMENDED FOR 
& HOW IT’S DONE
Recommended For:
• Men with low-grade cancer (Gleason ≤ 
6).
• Life expectancy under 10–15 years.
• Minimal or no symptoms.
Monitoring Includes:
• PSA tests every 3–6 months.
• Digital rectal exams.
• Biopsies or MRI when needed.
Dr. Amitabh Singh| MS( General Surgery) 
MCh(Urology) MBBS
Rajiv Gandhi Cancer Institute and Research Centre, Rohini
991137249 urooncologistdramitabh.com
9
RISKS & KEY 
CONSIDERATIONS
• Cancer may grow between check-ups.
• Some men feel anxious about 
“watching and waiting.”
• Requires strict follow-up visits.
• Not suitable for fast-growing or 
aggressive cancers.
Dr. Amitabh Singh| MS( General Surgery) 
MCh(Urology) MBBS
Rajiv Gandhi Cancer Institute and Research Centre, Rohini
991137249 urooncologistdramitabh.com
9
Thank 
You
Dr. Amitabh Singh| MS( General Surgery) 
MCh(Urology) MBBS
Rajiv Gandhi Cancer Institute and Research Centre, Rohini
991137249 urooncologistdramitabh.com
9