Treatments > Validated Treatments
Based on the recommendations of the learning societies, four treatments are almost unanimously validated. However for decades radical prostatectomy (RP) has been the gold standard of all treatments in localized prostate cancer with very few or even no scientific evidences (Oncology Center of Excellence Public Workshop, FDA 2020). More generally the most recent studies with the highest level of evidence comparing on a long period of time the radical treatments with a non-interventional treatment (active monitoring) have shown no gain on survival while a deleterious effect on quality of life. However the same studies have shown at mid-term a real risk of progression toward a metastatic disease as high as twice when no physical treatment were delivered [11-13].
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