Results of Conservative Management of Clinically Localized Prostate Cancer

Prostate cancer is now the most common cancer and the second most common cause of death from cancer among men in the United States 1 . Both the incidence and the mortality rate have continued to rise, with no reduction projected over the next several years 2 . Since a large percentage of patients have advanced disease at the time of diagnosis, 3 routine screening of asymptomatic men, which increases early detection, 4 has been recommended, but we do not know whether early detection will reduce mortality 5 . After diagnosis, counseling patients about management is difficult. The relative benefit of different forms of treatment . . .