Prostate cancer
INACTIVE --- Diagnosing clinically significant PCa

Kenneth (76 years old)

Kenneth is a 76-year-old retired engineer. During a yearly check-up at the GP, his PSA was 4.2 ng/mL. He was referred to a urologist The initial work-up resulted in the following:

  • DRE: prostate volume (PV) enlarged, no suspicious findings

  • PSA: 4.5 ng/mL

  • PV: 65 mL

  • PSAD: 0.06 ng/mL²

Kenneth has severe cardiovascular disease limiting his life expectancy to 5-10 years.

Which of the following options do you consider most appropriate for this patient?