Prostate Cancer
Fellowship-trained oncologic care, personalized to you.
For: Patients with an elevated PSA, a family history, or a new diagnosis.
Overview
Understanding Prostate Cancer
Prostate cancer is the most common non-skin cancer in men, and also one of the most survivable when it is found and staged carefully. Many prostate cancers grow slowly enough that immediate treatment is not the right answer. The clinical work is deciding, precisely, which cancer you have and what it actually requires.
Symptoms
Signs worth an evaluation
- Usually none in early disease, which is why PSA screening matters
- Rising PSA or an abnormal digital rectal examination
- New urinary obstruction, weak stream, or urinary frequency
- Blood in the urine or semen
- Bone pain or unexplained weight loss in advanced disease
Causes
Causes and risk factors
- Age, with risk rising sharply after 50
- Family history of prostate, breast, ovarian, or pancreatic cancer
- Inherited mutations such as BRCA1, BRCA2, and Lynch syndrome
- African ancestry, which carries both higher incidence and higher risk of aggressive disease
Diagnosis
How we evaluate it
- 1PSA trend review, PSA density, and formal risk stratification
- 2Multiparametric prostate MRI with PI-RADS scoring
- 3MRI-targeted and systematic prostate biopsy when indicated
- 4Genomic tissue testing to separate indolent from aggressive disease
- 5PSMA PET and cross-sectional imaging for staging in higher-risk cancers
Testing is chosen for your situation. Not every patient needs every step listed here.
Treatment
Treatment options we offer
Active surveillance
For carefully selected low-risk cancers: structured PSA, imaging, and biopsy monitoring so you avoid treatment you do not need.
Robotic radical prostatectomy
Da Vinci robotic surgery with nerve-sparing technique where oncologically safe, focused on continence and sexual function recovery.
SpaceOAR™ Hydrogel
A protective spacer placed before radiation therapy to move the rectum away from the treatment field and reduce bowel side effects.
Coordinated radiation and systemic therapy
Close partnership with radiation and medical oncology so a multi-specialty plan still feels like one team.
Hormonal therapy
Androgen deprivation and modern agents for locally advanced or metastatic disease, with attention to bone and metabolic health.
Why choose PSUMG
Specialist care for prostate cancer, close to home.
Fellowship-trained urologic oncology care, locally in the Coachella Valley
MRI-guided diagnosis and genomic testing rather than biopsy alone
Active surveillance offered and supported, not treated as a lesser option
You will not be pushed toward the largest treatment. We start with the data, your values, and your goals, then build a plan you understand.
Related
Learn More
For additional patient education, explore these trusted resources.
Medical Disclaimer. This information is provided for general educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Please consult your healthcare provider regarding your individual medical needs.