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Prostate cancer

Active Surveillance for Prostate Cancer: who is a good candidate?

By Advanced Urology · November 10, 2026

Who is a good candidate for active surveillance?

Key points

Men with low-risk prostate cancer, such as Gleason 6, and some with favorable intermediate-risk cancer. What matters most is the grade and how much cancer is there.

What to know

It means regular PSA tests, MRIs, and repeat biopsies, sometimes as often as yearly, instead of treatment right away. Treatment starts if the cancer shows signs of change. It lets many men avoid or delay side effects. Told your cancer is low risk?

When to get seen

Schedule a visit to talk through whether active surveillance makes sense for you.

At our Dallas Clinic

At our Dallas Clinic, Building 100 on Charles Hardy Parkway, Daniel Roberson, PA-C, looks forward to seeing you.

Book a visit with Advanced Urology today.

Call (678) 344-8900 Book a visit online

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Prostate cancer on advancedurology.com

Visits at our Dallas Clinic

Men in Dallas and western Paulding County can have many surveillance check-ins at our Dallas Clinic with Daniel Roberson, PA-C. He orders and reviews PSA tests, performs exams, and explains each result in everyday terms. Bring your biopsy report and a list of medicines to your first visit there, along with any PSA results from other offices.

How the plan is built

Active surveillance is generally offered for low-risk cancers that are small and slow-growing. The plan is set with one of our urologists, who sees men in Marietta, and it lays out how often PSA, MRI and repeat biopsy happen. If a result shifts, treatment options such as focal therapy, robotic surgery or radiation are discussed promptly.

Reasons to call between checks

  • New trouble urinating or a slower stream
  • Blood in the urine or semen
  • Bone or back pain that lingers
  • Worry about a result you've seen in your portal

What men ask

Common questions

Am I giving up on treatment?

No. You keep having PSA tests, MRI and repeat biopsies on a schedule, and surgery or radiation is offered if the cancer grows or changes grade. Meanwhile you avoid the urinary and erection side effects of treatment you may never need.

Can I change my mind?

Yes. Some men move to surgery or radiation because regular testing wears on them, even when the cancer hasn't changed. That is a reasonable choice, and we go over both treatments with you when you decide.

Staying active, eating well and not smoking support your overall health during monitoring. Dallas, Hiram and Rockmart families can phone (678) 344-8900 to schedule.

Related reading

Videos from Advanced Urology

#020 - Decoding PSMA PET / CT for Prostate Cancer What the video covers: An episode on the PSMA PET/CT scan: what it is, how its tracer attaches to prostate cancer cells, why it may be ordered to check whether cancer has spread, and what happens before, during and after the test. Watch on YouTube
What is Elevated PSA and how Advanced treats it What the video covers: From its title: a look at what a raised PSA can signal and the steps Advanced Urology takes next. Watch on YouTube

Videos play here from Advanced Urology’s YouTube channel, using YouTube’s privacy-enhanced mode.

Where can I go from here?

Start with the condition page, then call or book online whenever you are ready.

Questions after reading this? Our offices in Marietta, Canton, Dallas and Jasper share one phone line and one caring team.

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