• ABOUT US
    • Our Clinic
    • Our Team
    • Useful Resources
  • CONDITIONS
    • Common Urological Conditions
    • Benign Prostate Enlargement
    • Bladder Cancer
    • Kidney Cancer
    • Advanced Kidney Cancer
    • Kidney Cyst
    • Prostate Cancer
    • Advanced Prostate Cancer
    • Testis Cancer
    • Male Subfertility
    • Sperm Retrieval
    • Urinary Incontinence
    • Urinary Stones
  • SYMPTOMS
    • Common Urological Symptoms
    • Raised PSA (Prostate specific antigen)
    • Urinary leakage
    • Blood in the urine
    • Frequent urination
    • Poor urinary flow, straining and dribbling
    • Waking up at night frequently to urinate
  • TREATMENTS & SERVICES
    • Our Services
    • MRI Targeted Prostate Biopsy
    • Water vapour therapy for benign prostate enlargement
    • Greenlight laser TURP
    • Robotic Prostatectomy
    • Robotic Partial Nephrectomy
    • Transurethral Resection of Bladder Tumour (TURBT)
    • Extracorporeal Shockwave Lithotripsy
    • Retrograde Intrarenal Surgery (RIRS)
    • Ureteroscopy, Laser Lithotripsy, DJ Stent Insertion
    • Cystoscopy
  • GET IN TOUCH
RAVENNA UROLOGY CLINIC
CALL US AT +65 64797822

Prostate Cancer

What is the Prostate gland?

The prostate is part of a man's reproductive system. It's located in front of the rectum and under the bladder. The prostate surrounds the urethra, the tube through which urine flows and produces seminal fluid or semen.

What are the symptoms of prostate cancer?

Prostate cancer causes the gland to enlarge. This may result in difficulty starting urination, poor urinary stream, straining during urination, dribbling and sensation of incomplete emptying of the bladder. In advance cases, it may invade into the bladder and rectum resulting in blood in the urine and stool and obstructed urine flow. It may spread to the lymph nodes and may compress on the ureters (tubes connecting the kidneys to the bladder), resulting in kidney failure. It also spreads to the bones and other organs in the abdomen and pelvis. In particular, it commonly spreads to the spine, causing back pain and sometimes spine (vertebra) fracture that may cause urinary retention (inability to pass urine) and lower limb weakness. In the very early stages, there may not be any symptoms at all except for a rise in PSA (Prostate Specific Antigen) levels.

How is prostate cancer diagnosed?

The diagnosis is made through a prostate biopsy in which prostate tissue is removed and examined under a microscope for cancer cells.

Prostate cancer cells are graded by the Gleason scoring system to determine how aggressive these cells are. Cancers with higher grades tend to grow faster than those with lower grades and are also more likely to spread. Staging tests are performed using bone scan and PET CT or MRI scans to determine whether the cancer has spread to other parts of the body.

Stages

The stage of prostate cancer depends mainly on:

  • Stage I: The cancer is only in the prostate. It might be too small to feel during a digital rectal exam. If the Gleason score and PSA level are known, the Gleason score is 6 or less, and the PSA level is under 10.
  • Stage II: The tumour is more advanced or a higher grade than Stage I, but the tumour doesn't extend beyond the prostate.
  • Stage III: The tumour extends beyond the prostate. The tumor may have invaded the seminal vesicles, but cancer cells haven’t spread to lymph nodes.
  • Stage IV: The tumour may have invaded the bladder, rectum, or nearby structures (beyond the seminal vesicles). It may have spread to lymph nodes, bones, or other parts of the body.

Treatment

Early prostate cancer

Treatment options include active surveillance, surgery, radiation therapy, with or without hormonal therapy. In certain high-risk cases, you may receive more than one type of treatment.

Surgery: robotic radical prostatectomy

Surgery is an option for men with early-stage prostate cancer

The entire prostate can be removed with a robotic surgical system (da Vinci robotic radical prostatectomy) through small incisions in the abdomen. The surgeon uses handles below a computer display to control the robot's arms. This is the most common type of surgery for prostate cancer at our Clinic.

The prostate can also be removed through a long incision in the abdomen below the belly button. Because of the long incision, it's also called an open radical prostatectomy.

Radiation Therapy

Radiation therapy uses high-energy rays to kill cancer cells. It affects cells only in the part of the body that is treated.

The radiation comes from a large machine outside the body. This is called external beam radiation therapy. Treatments are usually 5 days a week for 7 weeks. In brachytherapy (seed implant), the urologist places dozens of radioactive seeds inside needles, and the needles are inserted into the prostate. When the needles are removed, the seeds are left behind. The seeds give off radiation for a few weeks or months. They don't need to be removed once the radiation is gone.

Active Surveillance

Your doctor may suggest active surveillance if you're diagnosed with early-stage very low risk prostate cancer that seems to be growing slowly and if you are older or have other health problems.

Active surveillance is putting off treatment until test results show that your prostate cancer is growing or changing. This requires regular digital rectal exams and PSA tests and repeat prostate biopsies to check the Gleason score.

For some men, it's stressful to live with an untreated prostate cancer. If you choose active surveillance but grow concerned later, you should discuss your feelings with your doctor.

Advance prostate cancer

See advanced prostate cancer

Follow-up after treatment

You'll need regular checkups (such as every 3 to 6 months) after treatment for prostate cancer. Checkups help ensure that any changes in your health are noted and treated if needed. Prostate cancer may come back after treatment.

Checkups may include a digital rectal exam and a PSA test. A rise in PSA level can mean that cancer has returned after treatment. Your doctor may also order a biopsy, a bone scan, CT scans, an MRI, or other tests.

Partial nephrectomy is increasingly performed in our clinic as more cancers are being detected by screening ultrasound scans.

Send us an enquiry

Contact Information

Ravenna Urology Clinic
6 Napier Road #07-12, Gleneagles Medical Centre,
Singapore 258499

T +65 64797822
F +65 64793989
24-hour Service: +65 65358833

Opening Hours

Mon-Fri    9 am - 5 pm
Sat           9 am - 12:30 pm
Closed on Sun and Public holidays

Website maintained by PAA.
All rights reserved 2014 ~ 2025.

RAVENNA UROLOGY CLINIC
6 Napier Road #07-12, Gleneagles Medical Centre, Singapore 258499
CALL US AT   +65 64797822
 

Prostate Cancer

 
 

What is the Prostate gland?

 
 

The prostate is part of a man's reproductive system. It's located in front of the rectum and under the bladder. The prostate surrounds the urethra, the tube through which urine flows and produces seminal fluid or semen.

 
 

What are the symptoms of prostate cancer?

 
 

Prostate cancer causes the gland to enlarge. This may result in difficulty starting urination, poor urinary stream, straining during urination, dribbling and sensation of incomplete emptying of the bladder. In advance cases, it may invade into the bladder and rectum resulting in blood in the urine and stool and obstructed urine flow. It may spread to the lymph nodes and may compress on the ureters (tubes connecting the kidneys to the bladder), resulting in kidney failure. It also spreads to the bones and other organs in the abdomen and pelvis. In particular, it commonly spreads to the spine, causing back pain and sometimes spine (vertebra) fracture that may cause urinary retention (inability to pass urine) and lower limb weakness. In the very early stages, there may not be any symptoms at all except for a rise in PSA (Prostate Specific Antigen) levels.

 
 
 
 

How is prostate cancer diagnosed?

 
 

The diagnosis is made through a prostate biopsy in which prostate tissue is removed and examined under a microscope for cancer cells.

Prostate cancer cells are graded by the Gleason scoring system to determine how aggressive these cells are. Cancers with higher grades tend to grow faster than those with lower grades and are also more likely to spread. Staging tests are performed using bone scan and PET CT or MRI scans to determine whether the cancer has spread to other parts of the body.

 
 

Stages

 
 

The stage of prostate cancer depends mainly on:

 
 
  • Stage I: The cancer is only in the prostate. It might be too small to feel during a digital rectal exam. If the Gleason score and PSA level are known, the Gleason score is 6 or less, and the PSA level is under 10.
  • Stage II: The tumour is more advanced or a higher grade than Stage I, but the tumour doesn't extend beyond the prostate.
  • Stage III: The tumour extends beyond the prostate. The tumor may have invaded the seminal vesicles, but cancer cells haven’t spread to lymph nodes.
  • Stage IV: The tumour may have invaded the bladder, rectum, or nearby structures (beyond the seminal vesicles). It may have spread to lymph nodes, bones, or other parts of the body.
 
 

Treatment

 
 

Early prostate cancer

 
 

Treatment options include active surveillance, surgery, radiation therapy, with or without hormonal therapy. In certain high-risk cases, you may receive more than one type of treatment.

Surgery: robotic radical prostatectomy

 
 

Surgery is an option for men with early-stage prostate cancer

 
 

The entire prostate can be removed with a robotic surgical system (da Vinci robotic radical prostatectomy) through small incisions in the abdomen. The surgeon uses handles below a computer display to control the robot's arms. This is the most common type of surgery for prostate cancer at our Clinic.

The prostate can also be removed through a long incision in the abdomen below the belly button. Because of the long incision, it's also called an open radical prostatectomy.

 
 

Radiation Therapy

 
 

Radiation therapy uses high-energy rays to kill cancer cells. It affects cells only in the part of the body that is treated.

The radiation comes from a large machine outside the body. This is called external beam radiation therapy. Treatments are usually 5 days a week for 7 weeks. In brachytherapy (seed implant), the urologist places dozens of radioactive seeds inside needles, and the needles are inserted into the prostate. When the needles are removed, the seeds are left behind. The seeds give off radiation for a few weeks or months. They don't need to be removed once the radiation is gone.

 
 

Active Surveillance

 
 
 
 

Your doctor may suggest active surveillance if you're diagnosed with early-stage very low risk prostate cancer that seems to be growing slowly and if you are older or have other health problems.

Active surveillance is putting off treatment until test results show that your prostate cancer is growing or changing. This requires regular digital rectal exams and PSA tests and repeat prostate biopsies to check the Gleason score.

For some men, it's stressful to live with an untreated prostate cancer. If you choose active surveillance but grow concerned later, you should discuss your feelings with your doctor.

 
 

Advance prostate cancer

 
 

See advanced prostate cancer

 
 

Follow-up after treatment

 
 

You'll need regular checkups (such as every 3 to 6 months) after treatment for prostate cancer. Checkups help ensure that any changes in your health are noted and treated if needed. Prostate cancer may come back after treatment.

Checkups may include a digital rectal exam and a PSA test. A rise in PSA level can mean that cancer has returned after treatment. Your doctor may also order a biopsy, a bone scan, CT scans, an MRI, or other tests.

Partial nephrectomy is increasingly performed in our clinic as more cancers are being detected by screening ultrasound scans.

 
 

Send us an enquiry

 
 
 

Contact Information

Opening Hours

 

Ravenna Urology Clinic
6 Napier Road #07-12, Gleneagles Medical Centre,
Singapore 258499

T +65 64797822
F +65 64793989
24-hour Service: +65 65358833

Mon-Fri    9 am - 5 pm
Sat           9 am - 12:30 pm
Closed on Sun and Public holidays

 

Website maintained by PAA.
All rights reserved 2014 ~ 2025.

RAVENNA UROLOGY CLINIC
Tel
+65 6479 7822

24Hr
+65 6535 8833
 
 
address
6 Napier Road #07-12,
Gleneagles Medical Centre,
Singapore 258499
opening hours
Mon-Fri   9 am - 5 pm
Sat   9 am - 12:30 pm
Sun, Public holidays   Closed
RAVENNA UROLOGY CLINIC
Tel
+65 6479 7822

24Hr
+65 6535 8833
 
 
address
6 Napier Road #07-12,
Gleneagles Medical Centre,
Singapore 258499
opening hours
Mon-Fri   9 am - 5 pm
Sat   9 am - 12:30 pm
Sun, Public holidays   Closed

Prostate Cancer

What is the Prostate gland?

The prostate is part of a man's reproductive system. It's located in front of the rectum and under the bladder. The prostate surrounds the urethra, the tube through which urine flows and produces seminal fluid or semen.

What are the symptoms of prostate cancer?

Prostate cancer causes the gland to enlarge. This may result in difficulty starting urination, poor urinary stream, straining during urination, dribbling and sensation of incomplete emptying of the bladder. In advance cases, it may invade into the bladder and rectum resulting in blood in the urine and stool and obstructed urine flow. It may spread to the lymph nodes and may compress on the ureters (tubes connecting the kidneys to the bladder), resulting in kidney failure. It also spreads to the bones and other organs in the abdomen and pelvis. In particular, it commonly spreads to the spine, causing back pain and sometimes spine (vertebra) fracture that may cause urinary retention (inability to pass urine) and lower limb weakness. In the very early stages, there may not be any symptoms at all except for a rise in PSA (Prostate Specific Antigen) levels.

How is prostate cancer diagnosed?

The diagnosis is made through a prostate biopsy in which prostate tissue is removed and examined under a microscope for cancer cells.

Prostate cancer cells are graded by the Gleason scoring system to determine how aggressive these cells are. Cancers with higher grades tend to grow faster than those with lower grades and are also more likely to spread. Staging tests are performed using bone scan and PET CT or MRI scans to determine whether the cancer has spread to other parts of the body.

Stages

The stage of prostate cancer depends mainly on:

  • Stage I: The cancer is only in the prostate. It might be too small to feel during a digital rectal exam. If the Gleason score and PSA level are known, the Gleason score is 6 or less, and the PSA level is under 10.
  • Stage II: The tumour is more advanced or a higher grade than Stage I, but the tumour doesn't extend beyond the prostate.
  • Stage III: The tumour extends beyond the prostate. The tumor may have invaded the seminal vesicles, but cancer cells haven’t spread to lymph nodes.
  • Stage IV: The tumour may have invaded the bladder, rectum, or nearby structures (beyond the seminal vesicles). It may have spread to lymph nodes, bones, or other parts of the body.

Treatment

Early prostate cancer

Treatment options include active surveillance, surgery, radiation therapy, with or without hormonal therapy. In certain high-risk cases, you may receive more than one type of treatment.

Surgery: robotic radical prostatectomy

Surgery is an option for men with early-stage prostate cancer

The entire prostate can be removed with a robotic surgical system (da Vinci robotic radical prostatectomy) through small incisions in the abdomen. The surgeon uses handles below a computer display to control the robot's arms. This is the most common type of surgery for prostate cancer at our Clinic.

The prostate can also be removed through a long incision in the abdomen below the belly button. Because of the long incision, it's also called an open radical prostatectomy.

Radiation Therapy

Radiation therapy uses high-energy rays to kill cancer cells. It affects cells only in the part of the body that is treated.

The radiation comes from a large machine outside the body. This is called external beam radiation therapy. Treatments are usually 5 days a week for 7 weeks. In brachytherapy (seed implant), the urologist places dozens of radioactive seeds inside needles, and the needles are inserted into the prostate. When the needles are removed, the seeds are left behind. The seeds give off radiation for a few weeks or months. They don't need to be removed once the radiation is gone.

Active Surveillance

Your doctor may suggest active surveillance if you're diagnosed with early-stage very low risk prostate cancer that seems to be growing slowly and if you are older or have other health problems.

Active surveillance is putting off treatment until test results show that your prostate cancer is growing or changing. This requires regular digital rectal exams and PSA tests and repeat prostate biopsies to check the Gleason score.

For some men, it's stressful to live with an untreated prostate cancer. If you choose active surveillance but grow concerned later, you should discuss your feelings with your doctor.

Advance prostate cancer

See advanced prostate cancer

Follow-up after treatment

You'll need regular checkups (such as every 3 to 6 months) after treatment for prostate cancer. Checkups help ensure that any changes in your health are noted and treated if needed. Prostate cancer may come back after treatment.

Checkups may include a digital rectal exam and a PSA test. A rise in PSA level can mean that cancer has returned after treatment. Your doctor may also order a biopsy, a bone scan, CT scans, an MRI, or other tests.

Partial nephrectomy is increasingly performed in our clinic as more cancers are being detected by screening ultrasound scans.


Send us an enquiry

Contact Information

Ravenna Urology Clinic
6 Napier Road #07-12, Gleneagles Medical Centre,
Singapore 258499

T +65 64797822
F +65 64793989
24-hour Service: +65 65358833

Opening Hours

Mon-Fri    9 am - 5 pm
Sat           9 am - 12:30 pm
Closed on Sun and Public holidays

Map Location

 

Website maintained by PAA.
All rights reserved 2014 ~ 2025.