Prostate Cancer Care

What it is

Prostate cancer is assessed with a combination of PSA blood tests, examination, MRI and biopsy. The pathology result (the Gleason score or Grade Group), the PSA level and scans showing whether the cancer has spread together define a risk group, which guides the discussion of options.

Depending on the situation, options may include active surveillance (careful monitoring with regular tests), surgery to remove the prostate (radical prostatectomy, often robot-assisted), radiotherapy, hormone therapy, or other systemic treatment for more advanced disease. Some prostate cancers grow very slowly and may not need immediate treatment.

The right approach depends on the features of the cancer, your age, general health and personal priorities, including possible effects on urinary and sexual function. These decisions are made with a urologist and an oncologist after a full review.

How the pathway is coordinated

1. 01

   Consultation

   You contact a coordinator and describe what you would like reviewed. We explain what we can and cannot do: ELAVIA Global coordinates care and does not give medical advice or treatment.

2. 02

   Review of your records and scans

   With your consent, your reports, imaging and pathology are shared securely with an oncologist at an independent partner clinic. Original scan files or pathology slides may need to be re-reviewed, or some tests repeated.

3. 03

   Plan by the treating oncologist

   A urologist and an oncologist at the partner clinic review the results and explain the options they consider relevant, with the possible benefits and side effects of each. Further imaging, such as a PSMA PET-CT, may be suggested in some cases.

4. 04

   Treatment at a partner clinic

   If you decide to proceed at a partner clinic, surgery or radiotherapy is delivered by its licensed team. Monitoring after treatment usually continues with your doctor at home.

5. 05

   Follow-up

   You receive written reports to take home. Ongoing follow-up is usually arranged with your oncologist at home, and the coordinator helps share records between the teams.

Who it may apply to

• People with a raised PSA or an abnormal prostate MRI who would like the findings reviewed
• People with a new prostate cancer diagnosis comparing options such as surveillance, surgery and radiotherapy
• People with a rising PSA after previous treatment

These are general examples only. Whether any test or treatment is appropriate is decided by a treating oncologist after examination, imaging and pathology review.

What to prepare

• Your most recent consultation letters and medical reports
• Imaging reports and, where possible, the original scan files (CT, MRI, PET-CT) as a download link or disc
• Pathology and biopsy reports, including any receptor or molecular test results
• A list of treatments received so far, with dates, and your current medication
• Recent blood test results
• All PSA results with dates, the prostate MRI report and images, and the biopsy report with the Gleason score or Grade Group

Send copies and keep your originals. The reviewing team may ask for further records, or for some tests to be repeated.

How cost is confirmed

Cost depends on the diagnosis and treatment plan and is confirmed in a written quote after consultation.

Common questions