Candidates for Active Surveillance
Men with early stage prostate cancer that is confined to the prostate gland are the best candidates for active surveillance. Also, good candidates are men without symptoms and have prostate cancer that is slow growing. Finally, older men with serious other medical problems which may interfere with treatment are potential active surveillance candidates.
The benefits of active surveillance is that it is low cost, safe, and has no side effects. Men are able to maintain day-to-day quality of life and not have any of the complications of treatment such as impotence\ED or urinary incontinence. The risk is that men can become complement and not follow up as often as they should and that the cancer can grow and become more aggressive.
Bottom Line: Prostate cancer is a common problem in middle age and older men. Most men if they live long enough will develop prostate cancer. However, most men with the diagnosis of prostate cancer will die with the cancer and not from it. My best advice is to have a conversation with your doctor and see if active surveillance is right for you and your cancer.