Prostate Cancer

Prostate Cancer Treatment in Singapore

Prostate cancer is the #1 cancer incident in Singapore males, with 4 new cases diagnosed every day. It affects men particularly over the age of 50 and is often slowly growing and may not cause symptoms in the early stages. Some prostate cancers remain confined to the gland and are slow-growing, while others can spread and become more aggressive. Early diagnosis allows for a wider range of effective treatment options and better outcomes.

Dr-Ho-100x100

Medically reviewed by Dr Ho Siew Hong

Senior Consultant Urologist

MBBS (NUS), FRCS (Edinburgh, Glasgow), FAMS (Urology), Singapore Board Certified Urologist

What Is Prostate Cancer?

Prostate cancer occurs when abnormal cells grow uncontrollably in the prostate gland — a small organ located below the bladder in men. It can remain localised or spread to nearby tissues such as the seminal vesicles, bladder, or distant organs like the bones and lymph nodes.

The most common type is adenocarcinoma. Prostate cancer is often detected through a Prostate-Specific Antigen (PSA) blood test or digital rectal examination (DRE) before symptoms develop.

Common Symptoms

Many men with early-stage prostate cancer have no noticeable symptoms. When symptoms occur, they may include:

Difficulty urinating or weak urine stream

Frequent urination, especially at night

Blood in urine or semen

Pain during urination or ejaculation

Pelvic or lower-back discomfort

Bone pain (in advanced stages)

Stages of Prostate Cancer

Prostate cancer is categorised into stages based on how far the cancer has grown within the prostate and whether it has spread to nearby lymph nodes or other parts of the body. Staging helps guide treatment planning and predict outcomes.

Stage I

Cancer is small and confined to the prostate gland. Often managed with active surveillance or local treatment.

Stage II

Cancer is still within the prostate but may involve both sides of the gland. Surgery or radiation therapy is usually recommended.

Stage III

Cancer has spread beyond the prostate capsule to nearby tissues such as the seminal vesicles. May require combined surgery, radiation, and hormone therapy.

Stage IV

Cancer has spread to lymph nodes or distant organs (bones, lungs). Managed with hormone therapy, targeted therapy, or chemotherapy.

If you’ve been diagnosed with prostate cancer or an abnormal PSA finding, understanding the stage of your condition helps plan the most effective treatment with the best possible outcomes.

Prostate cancer is most treatable when detected early. Don’t wait—get screened and take the first step toward better health.

How Prostate Cancer Is Diagnosed

Our clinic provides a one-stop evaluation process for prostate cancer. Common investigations include:

PSA Blood Test

Detects elevated Prostate-Specific Antigen levels.

Digital Rectal Examination (DRE)

Checks for prostate irregularities or nodules.

Multiparametric MRI

Advanced imaging to map suspicious areas for targeted biopsy.

MRI Fusion-Guided Biopsy

Improves accuracy in detecting clinically significant cancer. See related: MRI Fusion Robotic Biopsy.

Gleason Grading

Determines tumour aggressiveness from biopsy results.

Staging Scans

CT, bone scan, or PSMA PET scan for advanced or metastatic disease.

Treatment Options & Surgical Procedures

Treatment is based on cancer stage, grade, age, and patient preferences. Dr Ho provides a full range of options, integrating advanced technology with a patient-centred approach.

  • For low-risk, localised prostate cancer.
  • Regular PSA monitoring with MRI scans or repeat biopsies.
  • Minimally invasive surgery to remove the prostate gland.
  • Performed via small keyhole incisions using robotic assistance for precision.
  • Offers smaller incisions, less bleeding, and faster recovery.
  • Aims to preserve urinary continence and sexual function whenever possible.
  • Combines MRI imaging with real-time ultrasound for precise tissue targeting
  • Increases detection accuracy for clinically significant cancers
  • May be performed under local anaesthesia or sedation
  • External Beam Radiation or Proton Therapy or Brachytherapy (internal radioactive seeds).
  • May be used as a primary treatment or after surgery if cancer cells remain.
  • Often combined with hormone therapy for improved outcomes.
  • Reduces testosterone to slow cancer growth.
  • Commonly used for advanced or recurrent prostate cancer.
  • Used for metastatic or treatment-resistant prostate cancer.
  • Targets rapidly growing cancer cells or stimulates the immune system.
  • Treatment is coordinated with a medical oncologist.
  • Minimally invasive options such as High-Intensity Focused Ultrasound (HIFU) or Cryotherapy.
  • Suitable for selected low-volume tumours to preserve surrounding healthy tissue.

Post-Treatment Care

Short hospital stay (typically 3-4 days for robotic surgery)

Catheter placement for 5–7 days

Regular PSA testing every 3–6 months after treatment

Pelvic floor therapy to improve urinary continence

Erectile function support using medications or devices

Ongoing surveillance if under active monitoring

Potential Risks

Urinary incontinence (may improve with time and therapy)

Erectile dysfunction (depending on age, baseline function, and surgical technique)

Bowel irritation (if radiation is used)

Fatigue or hormonal side effects with systemic treatment

Risk of recurrence depending on cancer grade and stage

Speak to Dr. Ho Siew Hong Today

If you have symptoms, risk factors, or an abnormal PSA result, don’t delay a specialist review. Early detection allows for more treatment options and better outcomes.

Frequently Asked Questions

No. PSA may rise due to benign enlargement or infection. Further tests are required.

Yes. When detected early, localised prostate cancer can be effectively treated with surgery or radiation.

Some men experience temporary incontinence or erectile issues, but many recover with therapy and time.

Men over 50 (or over 40 with a family history of prostate cancer) should discuss annual PSA testing with their doctor.

Why consult Dr Ho Siew Hong @

S H Ho Urology & Laparoscopy Centre

Experienced Uro-Oncologist

Senior Consultant Urologist with over 20 years’ experience in robotic and laparoscopic prostate surgery.

Comprehensive Cancer Care

From screening and biopsy to surgery and long-term monitoring for prostate conditions.

Advanced Diagnostics & Technology

Access to MRI fusion biopsy and robotic surgical systems for precision treatment.

Collaborative Approach

Works with oncologists, radiologists and physiotherapists for holistic management.

Patient-Centred Philosophy

Balancing cancer control with preservation of quality of life.

Book Your Consultation Today

Get in touch with us today through 6475 2512 (office hours) for a personalized assessment, or complete the form below. For more urgent medical matters, we are contactable through 6535 8833.

Our Clinic Location

S H Ho Urology and Laparoscopy Centre (Gleneagles)
Gleneagles Medical Centre
6 Napier Road #09-18
Singapore 258499

S H Ho Urology and Laparoscopy Centre (Novena)
Mount Elizabeth Novena Specialist Centre
38 Irrawaddy Road #07-44
Singapore 329563

CAH Specialists @ Mount Alvernia
Medical Centre Block A
820 Thomson Road #05-03
Singapore 574623

CAH Specialists @ Farrer
Farrer Park Medical Centre, Connexion
1 Farrer Park Station Road #07-05
Singapore 217562

Insurance Panel

We are on the specialists panels of the following Health Networks/Insurance Plans:

Corporate Insurance

Personal Insurance

Extended Panel

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