Men's Health

Prostate Cancer

Approximately 70 per cent of men aged 70 upwards will have a prostate cancer present if their prostates are assessed at post- mortem. However the vast majority of these never cause any trouble, with the patient being totally unaware of its existence. The difficulty is therefore not just identifying prostate cancer cases, but sorting out which are the ones which will never cause any trouble from those that will spread if left untreated.

Doctors need to be careful to treat the aggressive cancers to stop their dissemination to lymph nodes and bones, at the same time not inflicting unnecessary side-effects of treatment in the harmless cancers. Clinical acumen and medical judgment are of paramount importance.

At 90 Sloane Street we have an excellent screening programme and our patients’ results are at the forefront of the field. Detecting the ‘bad’ prostate cancer starts at the Practice with our screening programme. If concerns arise from the examination and/or PSA, (prostate specific antigen) blood test, the diagnostic work-up begins with an MRI scan of the prostate. The results of this scan determine whether a prostate biopsy is indicated. Prostate MRI scans have a most impressive 85% concordance with biopsy results.

We have achieved exceptional results in large part thanks to the special relationships we have with the experts. This success rate is not only due to the quality of surgery, but also the Practice's link with London's lead pioneer in MRI scanning, who also performs the biopsies. The full medical team also comprises the geneticist, prostate oncologist and radiotherapist.

Dr Michael Sandberg went with Professor Eeles to Sloan Kettering last year to see Hans Lilja a world expert in PSA blood testing and the development of other PSA Kallikrein markers. In the future we are likely to bring in a Four-kallikrein test, which will be better at picking up the more aggressive types of prostate cancer. Separately, in 2017 we linked with the Martini-Klinik in Hamburg and have had our first two patients undergo surgery at this unique centre .With their large volume of work and pioneering spirit they are able to offer immediate frozen sections of the removed prostates at the time of surgery. The aim of this is to reduce impotence through the greater nerve sparing enabled by this technique.