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Updated: Apr 16, 2026

A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance
Published on: November 7, 2025
Is There a Role for Active Surveillance in Low-Risk Prostate Cancer?
Herbert Augustin1, Katrin Mayerhofer, Maximilian Seles
1Department of Urology, Medical University of Graz, Graz, Austria.
Background:
Active surveillance (AS) represents an expectant treatment strategy for clinically localized prostate cancer (PCa) with low-risk features.
Objective:
The actual management as well as the pros and cons of AS were evaluated.
Methods:
A systematic review of the recent literature was performed using the Medline databases.
Conclusions:
Since a substantial number of men die with rather than from PCa, there is a considerable role for AS in carefully selected men. AS may also represent a strategy to reduce the burden of overtreatment rooted in intensified PSA testing. Facing the imprecision of risk stratification based on transrectal ultrasound-guided biopsy, accurate clinical staging represents a major medical challenge. Counseling and care require empathy as well as a profound understanding of the biology and the natural history of PCa.

