Best Treatment Options for Prostate Cancer in 2025

What Factors Influence Treatment Choice?

Prostate cancer treatment isn’t one-size-fits-all. The best option for you depends on several factors:

• Stage and grade of the cancer (Gleason score and PSA level)
  
  
• Whether the cancer is localized or has spread
  
  
• Age and overall health
  
  
• Urinary or sexual symptoms
  
  
• Personal preference and quality-of-life goals
  
  

Dr. Samadi uses a personalized approach to recommend the most appropriate and least invasive treatment available.

Top Prostate Cancer Treatments in 2025

1. Robotic-Assisted Laparoscopic Prostatectomy (RALP)

Robotic surgery remains the gold standard for many patients with localized prostate cancer. Dr. Samadi is a global leader in robotic prostate surgery, having performed thousands of successful procedures.

Benefits of Robotic Surgery:

• High cancer cure rates
  
  
• Shorter recovery time
  
  
• Reduced blood loss
  
  
• Preservation of urinary control and sexual function
  
  

2. Active Surveillance

For low-risk, slow-growing prostate cancer, active surveillance may be the best option. This involves:

• Regular PSA testing
  
  
• Digital rectal exams
  
  
• Imaging (MRI) and occasional biopsies
  
  

This approach avoids overtreatment while closely monitoring for signs the cancer is progressing.

Ideal for:

• Men with low Gleason scores (≤6)
  
  
• Small, localized tumors
  
  
• Older patients or those with other health concerns
  
  

3. Radiation Therapy

Radiation may be used as a primary treatment or after surgery if there’s a concern about recurrence. Types include:

• External Beam Radiation Therapy (EBRT)
  
  
• Brachytherapy (seed implantation)
  
  

Advancements in image-guided radiation and proton therapy in 2025 have improved targeting while minimizing damage to surrounding tissue.

4. Focal Therapy (HIFU, Cryotherapy)

Focal therapies treat only the cancerous portion of the prostate, preserving healthy tissue.

• HIFU (High-Intensity Focused Ultrasound): Uses sound waves to destroy cancer cells
  
  
• Cryotherapy: Freezes and destroys prostate cancer cells
  
  

These are minimally invasive outpatient options best suited for small, localized tumors.

5. Hormone Therapy (Androgen Deprivation Therapy)

For advanced or recurrent prostate cancer, hormone therapy helps shrink tumors and slow growth by reducing testosterone levels. Often used in combination with:

• Radiation therapy
  
  
• Chemotherapy
  
  
• Surgery (in some cases)
  
  

6. Targeted and Immunotherapy (Emerging in 2025)

Newer treatments like PSMA-targeted radioligand therapy and checkpoint inhibitors are showing promise for advanced prostate cancer, especially when traditional therapies stop working.

These treatments are often part of clinical trials or used in personalized cancer care plans based on genetic testing.

What’s the Best Treatment for You?

There is no universal "best" treatment—only what’s best for your unique diagnosis and lifestyle. For example:

• A 58-year-old healthy man with localized cancer may benefit most from robotic prostatectomy
  
  
• A 72-year-old with slow-growing cancer and no symptoms may choose active surveillance
  
  
• A man with aggressive or metastatic cancer may need a combination of hormone therapy and radiation
  
  

Dr. Samadi carefully weighs all these factors to help you make the most informed and confident decision.

Why Choose Dr. David Samadi?

With decades of experience and international recognition, Dr. Samadi offers:

• Thousands of successful robotic surgeries
  
  
• Precision diagnosis using advanced imaging and biopsy techniques
  
  
• Compassionate, personalized care from consultation through recovery
  
  
• The latest technologies and treatments available in 2025
  
  

Facing a Prostate Cancer Diagnosis? You Don’t Have to Do It Alone

If you've been diagnosed with prostate cancer or want a second opinion, Dr. Samadi is here to help you understand your options and choose a treatment that gives you the best chance for a healthy future.

Schedule your consultation today
Call now: 212-365-5000