There are few physicians around the world who have as much experience in managing men on active surveillance as Dr. Klotz and his colleagues at the Sunnybrook Center near Toronto, Canada. They have built their experience carefully over time. They have carefully integrated and studied the value of techniques like multi-parametric MRI scans, MRI-guided and MRI/TRUS fusion-guided biopsies, molecular testing, etc. into the management protocols that they use.
Klotz and his colleagues continue to believe that active surveillance can still be a reasonable option for many patients with “favorable” forms of intermediate-risk prostate cancer, especially if they have other co-morbid conditions that could lead to their deaths within the next 10 to 15 years.
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