Choose the treatment that’s right for your situation Localized prostate cancer: treatments, surgery, radiotherapy or active surveillance with Dr. Olivier Dumonceau, urologist in Paris. Consultation appointment FAQ \u2013 Frequently Asked\u2026<\/p>\n","protected":false},"featured_media":5040,"menu_order":0,"template":"","class_list":["post-4798","besoin_patient","type-besoin_patient","status-publish","has-post-thumbnail","hentry"],"acf":{"dumonceau_subtitle":"Choose the treatment that's right for your situation","dumonceau_intro":"Localized prostate cancer: treatments, surgery, radiotherapy or active surveillance with Dr. Olivier Dumonceau, urologist in Paris.","dumonceau_related_expertises":"","dumonceau_related_besoins":"","dumonceau_card_excerpt":"Localized prostate cancer: treatments, surgery, radiotherapy or active surveillance with Dr. Olivier Dumonceau, urologist in Paris.","dumonceau_form_shortcode":"","dumonceau_primary_label":"Consultation appointment","dumonceau_primary_url":"https:\/\/www.doctolib.fr\/chirurgien-urologue\/paris\/olivier-dumonceau\/booking\/telehealth-suggestion","dumonceau_secondary_label":"","dumonceau_secondary_url":"","dumonceau_card_image":5040,"dumonceau_hero_image":4340,"dumonceau_videos":[{"url":"https:\/\/www.youtube.com\/watch?v=XqB3FLVebTA","title":"My review in video"},{"url":"https:\/\/www.youtube.com\/watch?v=m0Knfvm55To","title":"My review in video"},{"url":"https:\/\/www.youtube.com\/watch?v=4D4czt0WP5U","title":"My review in video"}],"dumonceau_video_eyebrow":"","dumonceau_video_section_title":"","dumonceau_video_section_text":"","dumonceau_faq_title":"FAQ \u2013 Frequently Asked Questions","dumonceau_faq_items":[{"question":"What are the options for treating localized prostate cancer?","answer":"Three main strategies exist: active surveillance for low-grade cancers, radical prostatectomy (most often robot-assisted), and radiotherapy, possibly combined with a short course of hormone therapy. The choice is made in multidisciplinary consultation."},{"question":"How to choose between surgery and radiotherapy?","answer":"Both offer excellent cancer control results. The choice takes into account age, tumor characteristics, pre-existing urinary problems, the side effects specific to each treatment, and your preferences after receiving full information."},{"question":"What is active surveillance?","answer":"For low-risk cancers, the disease is monitored with regular PSA tests, MRIs, and follow-up biopsies, without immediate treatment. Curative treatment is only initiated if the disease shows signs of progression\u2014thus sparing many patients the side effects of treatment."},{"question":"What are the chances of recovery?","answer":"For localized cancer, 10-year survival rates exceed 95% regardless of the curative treatment chosen. Follow-up then relies on simple, regular PSA testing."}],"dumonceau_sidebar_rdv_title":"","dumonceau_doctor_band_title":"","dumonceau_doctor_band_text":"","dumonceau_doctor_band_points":null,"dumonceau_doctor_band_image":"","dumonceau_page_cta_title":"","dumonceau_page_cta_text":"","dumonceau_closing_highlights":null,"dumonceau_blocks":[{"acf_fc_layout":"image_text_block","eyebrow":"","title":"Introduction","content":"
A diagnosis of prostate cancer often causes concern and raises many questions. When it is<\/span> localized<\/b> (that is, when it remains confined to the prostate gland, without spreading to the lymph nodes or metastases), curative treatment options exist.<\/span><\/p> The goal is to confidently choose, with a good benefit\/risk balance, the strategy best suited to your situation: to heal, to control, while preserving your quality of life.<\/span><\/p>","image":2768},{"acf_fc_layout":"video_section_block","eyebrow":"","title":"Expertise in Prostate Cancer Treatment","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=XqB3FLVebTA"},{"acf_fc_layout":"list_block","eyebrow":"","title":"What is meant by \u201clocalized prostate cancer\u201d?","text":"","items":[{"item":"The PSA (prostate-specific antigen) level"},{"item":"The Gleason score (degree of cell aggressiveness)"},{"item":"Stage T (TNM)"},{"item":"The tumor volume, its location"},{"item":"Your general health, age, comorbidities, personal expectations"}]},{"acf_fc_layout":"video_section_block","eyebrow":"Expertise","title":"Localized prostate cancer: HIFU focal treatment (ultrasound) \u2014 for whom, how, risks?","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=m0Knfvm55To"},{"acf_fc_layout":"list_block","eyebrow":"","title":"Treatment options","text":"","items":[{"item":"Indicated in cases of low-risk cancer (small tumor, low PSA, low aggressiveness) and if your life expectancy is not far off."},{"item":"It consists of monitoring the cancer without intervening immediately, using regular checks: PSA, rectal examination, MRI, repeated biopsies if necessary."},{"item":"If the cancer shows signs of progression, curative treatment is then considered."},{"item":"Complete removal of the prostate (and often the seminal vesicles), sometimes combined with lymph node dissection."},{"item":"It can be performed via open, laparoscopic or robot-assisted approach (with benefits in terms of surgical precision)."},{"item":"It offers a radical, potentially curative option, but with risks (incontinence, erectile dysfunction)."},{"item":"Cancer is treated with targeted ionizing radiation to destroy cancer cells."},{"item":"It can be used alone or in combination with hormone therapy depending on the risk of cancer."},{"item":"It is spread over several weeks."},{"item":"Possible side effects: bladder irritation, urinary problems, digestive issues, sometimes impacting sexual function."},{"item":"Radioactive implants (seeds) are placed directly into the prostate to deliver radiotherapy internally."},{"item":"This option is valid depending on the tumor volume, aggressiveness and architecture of the prostate."},{"item":"For certain well-localized tumors of low to medium risk, focal techniques may be considered (HIFU, cryotherapy, electroporation, micro-treatments) in order to treat the cancerous area while sparing healthy tissues."},{"item":"These techniques potentially reduce side effects (incontinence, erectile dysfunction) but are not suitable for all cases."},{"item":"In certain situations (intermediate or high risk), hormone therapy (blocking the effects of testosterone) is added to local treatment to improve the chances of control."},{"item":"It can be used before, during or after radiotherapy depending on the case."}]},{"acf_fc_layout":"video_section_block","eyebrow":"Experience","title":"Patient journey office","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=4D4czt0WP5U"},{"acf_fc_layout":"list_block","eyebrow":"","title":"How to choose the best option?","text":"","items":[{"item":"Cancer profile: PSA, Gleason score, stage, volume, location"},{"item":"Your general health, age and comorbidities"},{"item":"Your life expectancy and personal expectations (preservation of quality of life, urinary and sexual functions)"},{"item":"The risks and side effects of each option"},{"item":"Medical dialogue, taking into account the latest advances and your involvement in the decision"}]},{"acf_fc_layout":"list_block","eyebrow":"","title":"High-intensity focused ultrasound for prostate cancer","text":"","items":[{"item":"Prostate monitoring after age 50"},{"item":"Prostate cancer screening"},{"item":"REZUM (water vapor thermotherapy)"},{"item":"UroLift (transurethral implants)"},{"item":"Holmium Laser \/ ThuLEP"},{"item":"Robot-assisted radical prostatectomy"}]},{"acf_fc_layout":"text_block","eyebrow":"","title":"Patient Journey","content":" Let me introduce you to the typical patient journey, my approach to urology, and how I work.<\/p>"},{"acf_fc_layout":"text_block","eyebrow":"","title":"Are you looking for the best treatment for localized prostate cancer?","content":" Benefit from personalized care and the latest techniques.<\/p> Urology Clinic Paris Op\u00e9ra \u2013 Paris 17th<\/strong>
Specialized consultation and comprehensive support<\/strong>
Book your appointment today<\/strong>"}]},"_links":{"self":[{"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/4798","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient"}],"about":[{"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/types\/besoin_patient"}],"version-history":[{"count":1,"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/4798\/revisions"}],"predecessor-version":[{"id":4820,"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/4798\/revisions\/4820"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/media\/5040"}],"wp:attachment":[{"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/media?parent=4798"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}