Prostate Cancer: Why You Should Get A Second Opinion

Medically reviewed by Dr Johann Tang, Senior Consultant Radiation Oncologist

Prostate cancer is one of the most common cancers among men in Singapore. It is a slow-growing cancer that is difficult to detect when it is in the early stages. Prostate cancer typically shows no symptoms until the cancer has grown large enough to put pressure on the urethra. Even at this stage, the symptoms are minor and include urinating more frequently, hesitancy in urination, weak flow, and peeing often at night.

The lack of noticeable symptoms are why prostate cancer screenings are extremely important for men above a certain age. However, if you do receive a prostate cancer diagnosis, it can be useful to get a second opinion from a different oncology doctor regarding your treatment.

Taking this step can help you become more educated about the disease and the options available to you, which allows you to make a more informed decision moving forward. Here’s an in depth look at why you should get a second opinion.

Learn More: ​​Why Radiation Therapy Is Becoming An Increasingly Common Cancer Treatment Procedure

1. Refine Your Diagnosis And Treatment Plan

Prostate cancer is a complex disease that can present differently in many cases. The presentation directly affects diagnosis and treatment plans may vary from doctor to doctor. A consultation with a different doctor allows you to have multiple perspectives, which can help refine your diagnosis and prostate cancer treatment plan in Singapore.

If you are doubtful about your initial diagnosis or treatment plan, getting a second opinion can make you more comfortable when choosing a course of action.

In many cases, doctors will recommend a biopsy to confirm prostate cancer. However, not all biopsies are created equal. Some doctors may recommend a transrectal ultrasound (TRUS) biopsy, which involves inserting a needle through the rectum to extract tissue samples.

Another method for a biopsy to confirm prostate cancer is a transperineal biopsy, which involves inserting a needle through the skin between the scrotum and anus. Each biopsy method has its own set of risks and benefits, and the choice may depend on the size and location of the cancer.

Refining Treatment Plan

Similarly, treatment plans can vary based on the stage and grade of the cancer. Prostate cancer is a very slow growing cancer and many patients spend their lifetimes never experiencing significant symptoms from prostate cancer.

Since treatment for prostate cancer can have detrimental side effects, some doctors may recommend a treatment protocol known as active surveillance. This treatment involves monitoring the cancer with regular check-ups and PSA tests. Active surveillance is usually appropriate for patients with very early stage prostate cancer where the tumour is small, have a low gleason score which indicates less aggressive cancer, or if they have other health conditions.

Other treatment modalities for more advanced cancer include surgery to remove the prostate gland, radiation therapy, or hormone therapy. Each treatment has its own set of risks and benefits, and the choice may depend on factors such as age, overall health, and personal preferences.

2. Learn More About Your Condition

Receiving a cancer diagnosis can be scary for patients. Even though prostate cancer is slow growing and may not noticeably affect your quality of life in the early stages, patients may still experience fear and anxiety. Seeking a second opinion from a different oncology doctor can reassure some patients. The more you learn about your condition, the more in control you might feel which can ease your anxiety.

When getting a second opinion, it is important to come prepared with questions. Ask your doctor about the stage and grade of your cancer, and the risks and benefits of different treatments. Make sure you understand the potential side effects of each treatment option, as well as the likelihood of recurrence.

3. Important for Toxic, Invasive, or Lifelong Treatment

If you do require treatment for cancer, getting a second opinion over potential side effects helps you properly weigh your options. Prostate cancer treatment methods such as surgery and radiation can have side effects that include incontinence, impotence, and bowel problems. In some cases, these side effects can be permanent.

There might also be ways to reduce the potential for side effects. For example a new technology known as SpaceOAR Hydrogel can minimise the severity of side effects from radiation therapy. Clinical studies are also newly published with some frequency and, with the wealth of information available, it can be beneficial to get a different perspective.

With over 2 decades of experience in the field, Dr Johann Tang is a senior radiation oncologist who offers compassionate, research-based, patient-centric care. Contact us today to learn more about our services and book an appointment.