Can I get a second opinion on my prostate cancer diagnosis?

Yes. Mr Ameen regularly provides second opinions for men who have received a prostate cancer diagnosis and wish to explore all options. He will review your histology, MRI, staging and proposed treatment plan and give an honest, independent assessment with no pressure.

Oncology · Urology

Prostate Cancer
Care in London

Q: What is the most common type of prostate cancer?

Over 95% of prostate cancers are adenocarcinomas — cancers arising from the gland cells of the prostate. The Gleason score (now reported as Grade Group 1–5) grades how aggressive the cancer cells appear under the microscope and guides treatment decisions.

Q: Can prostate cancer be cured?

Yes — when detected at an early, localised stage, prostate cancer is highly curable with surgery or radiotherapy. Survival rates for localised disease exceed 95% at 10 years. Even for locally advanced disease, long-term control and cure are achievable with modern treatments.

Q: How do I know if prostate cancer has spread?

Staging investigations include MRI of the prostate and pelvis, PSMA PET-CT scan (the most sensitive test for detecting lymph node and distant spread), and bone scan if clinically indicated. Mr Ameen will arrange appropriate staging investigations based on your PSA level and biopsy results.

From first PSA concern through to diagnosis, treatment and long-term follow-up — all managed by Mr Ameen personally, with honest, evidence-based guidance at every step.

Book a Consultation PSA Testing Guide

Understanding Your Diagnosis

From Diagnosis to Treatment: The Journey

PSA Testing & Initial Assessment

If your PSA is raised or you have symptoms, Mr Ameen will assess your PSA trend, perform a clinical examination and arrange a multiparametric MRI (mpMRI) — the most accurate non-invasive test for prostate cancer.

MRI-Fusion Targeted Biopsy

If the MRI identifies a suspicious area (PIRADS 3–5), Mr Ameen performs an MRI-fusion targeted biopsy — combining MRI and ultrasound images in real-time to sample precisely the area of concern. Far more accurate than random biopsy.

Staging & Risk Assessment

Your cancer is staged based on biopsy results (Gleason score, number of positive cores), PSA level and MRI findings. A PSMA PET-CT scan may be arranged to exclude spread to lymph nodes or bone.

Active Surveillance

For low-risk, localised cancers (Gleason 6, PSA <10), active surveillance — regular monitoring without immediate treatment — avoids unnecessary side effects while maintaining the option of curative treatment if needed.

Robotic Prostatectomy

For localised intermediate and high-risk cancers, robotic radical prostatectomy is often the preferred surgical treatment. Mr Ameen has performed over 500 cases using the Retzius-sparing technique. Learn more →

Radiotherapy & Systemic Treatment

External beam radiotherapy (with or without hormone therapy) is an alternative to surgery for suitable patients. Mr Ameen co-ordinates seamlessly with clinical oncology colleagues to ensure all options are presented and the right path is chosen.

Frequently Asked Questions

Prostate Cancer FAQs

What is the most common type of prostate cancer?

The vast majority of prostate cancers (over 95%) are adenocarcinomas — cancers arising from the gland cells of the prostate. Rare types include small cell carcinoma and sarcoma, which have different treatment pathways. The Gleason score (now reported as Grade Group 1–5) grades how aggressive the cancer cells look under the microscope, which guides treatment decisions.

How do I know if prostate cancer has spread?

Staging investigations assess whether cancer has spread beyond the prostate. These include: MRI of the prostate and pelvis; PSMA PET-CT scan (the most sensitive test for detecting lymph node and distant spread); and bone scan if clinically indicated. Mr Ameen will arrange appropriate staging investigations based on your PSA level and biopsy results.

Can prostate cancer be cured?

Yes — when detected at an early, localised stage, prostate cancer is highly curable with surgery or radiotherapy. Survival rates for localised disease exceed 95% at 10 years. Even for locally advanced disease, long-term control and cure are achievable. For metastatic disease, modern hormonal and novel agents have dramatically extended life expectancy, with some patients living for many years.

What if I want a second opinion on my prostate cancer diagnosis?

Mr Ameen regularly provides second opinions for men who have received a prostate cancer diagnosis and wish to explore all options before committing to treatment. He will review your histology, MRI, staging and proposed treatment plan and give you an honest, independent assessment — with no pressure and full documentation.

Facing a prostate cancer diagnosis? Don't navigate it alone.

Clear, honest, consultant-led advice — from PSA concern to surgical cure. Book an appointment to discuss your individual situation.

Book Online Now Call 0204 558 6750

Prostate CancerCare in London