RCPSC Urology Practice Questions - Royal College Certification Examination In Urology Exam

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A 58-year-old healthy man presents with a PSA of 6.2 ng/mL, confirmed on repeat testing. Digital rectal exam (DRE) reveals a normal-feeling prostate. A transrectal ultrasound-guided prostate biopsy reveals adenocarcinoma in 3 out of 12 cores, Gleason score 3+4=7 (ISUP grade group 2), involving less than 50% of any core. Staging bone scan and pelvic CT are negative. What is the most appropriate first-line management option to discuss?

Radical prostatectomy or radiation therapy Androgen deprivation therapy (ADT) monotherapy Active surveillance High-intensity focused ultrasound (HIFU)

Correct Answer:

Radical prostatectomy or radiation therapy

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