Understanding the outcomes of the
different treatments for localised prostate cancer can be challenging.
It’s a personal choice weighing up
the quality of life versus the survival benefits.
The following diagram are the average results from the Protect Study for each of the three treatment options- active surveillance, radical prostatectomy, and radiotherapy.
Off course every patient is
different, and some patients may be at higher or lower risk than that
indicated, however none of the small survival differences at 15 years are
statistically proven for the whole group of patients or any particular risk
There are many different measures
of quality of life. The quality of life is shown at 5 years. In subsequent
years there are changes due to natural ageing and some patients who started
with active surveillance may end up undergoing radical prostatectomy or
radiotherapy which can impact on quality of life.
Incontinence was defined as not
being 100% continent.
Erectile dysfunction was defined as
erections not being firm enough for intercourse.
The outcomes are shown for blocks of a hundred men as a percentage. A green man is a good outcome, and a red man is a bad outcome.