Introduction

Prostate cancer is one of the most common cancers affecting men worldwide, including in Singapore. It occurs when abnormal cells develop in the prostate gland and grow uncontrollably. While early detection significantly improves treatment outcomes, choosing the right treatment depends on factors such as cancer stage, overall health, and patient preferences. Singapore is recognized for Prostate Cancer Treatment in Singapore advanced medical facilities, experienced oncologists, and a multidisciplinary approach to cancer care.

Diagnosis of Prostate Cancer

Before beginning treatment, doctors conduct various tests to confirm the presence of prostate cancer and determine its severity. These include:

1. Prostate-Specific Antigen (PSA) Test: Measures the level of PSA in the blood, which may indicate prostate cancer.

2. Digital Rectal Examination (DRE): A physical exam to check for abnormalities in the prostate gland.

3. Magnetic Resonance Imaging (MRI): Provides detailed images of the prostate to detect potential tumors.

4. Biopsy: A tissue sample is taken from the prostate to confirm cancer diagnosis and assess its aggressiveness.

5. Bone Scans and CT Scans: Used to check if cancer has spread to other parts of the body.

Treatment Options for Prostate Cancer in Singapore

Singapore offers world-class treatment options for prostate cancer, ranging from minimally invasive procedures to advanced radiation therapy and surgery.

1. Active Surveillance and Watchful Waiting

For men with low-risk prostate cancer, doctors may recommend monitoring the condition rather than immediate treatment. Regular PSA tests, biopsies, and imaging scans help track cancer progression. If it shows signs of worsening, doctors may then suggest active treatment.

2. Surgery (Radical Prostatectomy)

For patients with localized prostate cancer, surgical removal of the prostate gland can be an effective treatment. In Singapore, options for surgery include:

• Open Radical Prostatectomy: Traditional surgery involving a larger incision to remove the prostate.

• Laparoscopic Prostatectomy: A minimally invasive approach using small incisions and specialized instruments.

• Robotic-Assisted Laparoscopic Prostatectomy: Advanced robotic technology, such as the Da Vinci Surgical System, offers greater precision, shorter recovery times, and reduced side effects.

3. Radiation Therapy

Radiation therapy is a non-invasive treatment option that uses high-energy rays to destroy cancer cells. Types of radiation therapy available in Singapore include:

• External Beam Radiation Therapy (EBRT): Uses a machine to direct radiation at the prostate. Techniques such as Intensity-Modulated Radiation Therapy (IMRT) and Image-Guided Radiation Therapy (IGRT) improve accuracy.

• Brachytherapy (Internal Radiation Therapy): Involves placing radioactive seeds inside the prostate to target cancer cells directly, minimizing damage to surrounding tissues.

4. Hormone Therapy

Hormone therapy, also known as androgen deprivation therapy (ADT), reduces the levels of male hormones (androgens) that fuel prostate cancer growth. This treatment is often used for advanced or recurrent prostate cancer and can be combined with radiation therapy.

5. Chemotherapy

For patients with advanced prostate cancer that has spread beyond the prostate gland, chemotherapy may be recommended. This involves using drugs to destroy cancer cells throughout the body. While not a first-line treatment for localized prostate cancer, it is effective for metastatic cases.

6. Immunotherapy and Targeted Therapy

Singapore’s medical institutions offer cutting-edge treatments like immunotherapy and targeted therapy for advanced prostate cancer:

• Immunotherapy: Boosts the body's immune system to fight cancer cells more effectively.

• Targeted Therapy: Uses drugs that specifically target cancer cells while sparing normal cells, reducing side effects compared to chemotherapy.

7. Focal Therapy (High-Intensity Focused Ultrasound – HIFU)

HIFU is a relatively new and non-invasive treatment that uses high-intensity sound waves to destroy cancerous tissues in the prostate. It offers minimal side effects and a quicker recovery time compared to surgery and radiation.

Why Choose Singapore for Prostate Cancer Treatment?

Singapore is a leading medical hub in Asia, offering world-class healthcare with state-of-the-art technology. Reasons to consider treatment in Singapore include:

• Highly Skilled Specialists: Oncologists, urologists, and radiation therapists with extensive experience in prostate cancer management.

• Advanced Medical Technology: Robotic-assisted surgeries, precision radiation therapy, and innovative cancer drugs.

• Comprehensive Cancer Care: A multidisciplinary approach combining surgery, radiation, and medical oncology.

• Excellent Healthcare Infrastructure: Accredited hospitals with modern facilities and personalized patient care.

• International Patient Services: Many hospitals provide support for overseas patients, including language assistance, travel arrangements, and post-treatment follow-ups.

Leading Hospitals for Prostate Cancer Treatment in Singapore

Several hospitals and specialized cancer centers in Singapore provide top-tier prostate cancer treatment, including:

1. National Cancer Centre Singapore (NCCS)

2. Singapore General Hospital (SGH)

3. National University Cancer Institute (NCIS)

4. Tan Tock Seng Hospital (TTSH)

5. Mount Elizabeth Hospital

6. Gleneagles Hospital

7. Raffles Hospital