Active surveillance: Pitfalls to consider

Barbara Ercole, Dipen J. Parekh

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


With the pendulum swinging in low risk prostate cancer (PCa) to ideas of overtreatment and overdiagnosis more urologists are looking at Active Surveillance (AS) as a valid option for their low risk PCa patients. AS will undoubtedly hold a place as a management option in men with low risk PCa, however, it is critical to understand its limitations in its current form as highlighted in this article. We conducted a review of multiple computerized databases (Ovid, Medline, Pubmed, CINAHL, Cohrane Library database) with the keywords active surveillance, prostate neoplasm, and low risk PCa. Manual searches were also carried out. Assumptions of AS are discussed and their implications on selecting the appropriate AS candidate. As with any active treatment option offered to patients with PCa, those who are offered AS must be appropriately selected and counseled as to its risks and benefits.

Original languageEnglish (US)
Pages (from-to)695-702
Number of pages8
JournalArchivos Espanoles de Urologia
Issue number8
StatePublished - Oct 1 2011


  • Active Surveillance
  • Prostate cancer
  • Prostate neoplasm
  • Treatment

ASJC Scopus subject areas

  • Urology


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