Prostate cancer is one of the most commonly diagnosed cancers among men worldwide, and Singapore is no exception. With the nation’s rapidly aging population and increasing health awareness, early detection and effective treatment of prostate cancer have become a key focus of Singapore’s healthcare system. This article explores the landscape of prostate cancer treatment in Singapore, covering the diagnosis process, available treatment options, costs, medical facilities, and support systems.
Understanding Prostate Cancer
The prostate is a small gland in the male reproductive system that produces seminal fluid. Prostate cancer occurs when cells in the prostate gland grow uncontrollably. While it tends to grow slowly, some forms can be aggressive and spread quickly to other parts of the body.
Common symptoms may include:
Difficulty urinating
Frequent urination, especially at night
Blood in urine or semen
Erectile dysfunction
Pain in the back, hips, or pelvis
However, many men do not experience symptoms in the early stages, making routine screening vital.
Prostate Cancer Diagnosis in Singapore
Early diagnosis is crucial for effective treatment. In Singapore, the standard diagnostic procedures for prostate cancer include:
Prostate-Specific Antigen (PSA) Test: Measures the level of PSA in the blood. Elevated PSA may indicate cancer.
Digital Rectal Examination (DRE): A physical exam to feel for abnormalities in the prostate.
MRI and Ultrasound Imaging: Provides detailed imaging to assess prostate health.
Prostate Biopsy: A tissue sample is taken for histological analysis to confirm the presence and grade of cancer.
Many hospitals and clinics in Singapore offer comprehensive health screening packages that include PSA testing, making early detection more accessible.
Treatment Options in Singapore
Singapore offers a wide range of advanced treatment options for prostate cancer, tailored to the stage of cancer, patient age, overall health, and personal preferences. The treatment modalities can be categorized into:
1. Active Surveillance
For early-stage, slow-growing prostate cancer, doctors may recommend close monitoring without immediate treatment. This involves regular PSA tests, biopsies, and imaging studies. This approach avoids the potential side effects of treatment unless the cancer shows signs of progression.
2. Surgery (Radical Prostatectomy)
This involves the surgical removal of the prostate gland and surrounding tissues. It is commonly recommended for men with localized prostate cancer and a long life expectancy.
Types of surgery available in Singapore include:
Open prostatectomy
Laparoscopic (keyhole) surgery
Robotic-assisted laparoscopic prostatectomy (Da Vinci system) – Available at leading hospitals such as Singapore General Hospital (SGH), National University Hospital (NUH), and Mount Elizabeth Hospital.
3. Radiation Therapy
High-energy rays are used to destroy cancer cells. Singapore offers advanced radiation therapies, such as:
External Beam Radiation Therapy (EBRT)
Intensity-Modulated Radiation Therapy (IMRT)
Brachytherapy (internal radiation)
These are available in public hospitals like the National Cancer Centre Singapore (NCCS) and private institutions.
4. Hormone Therapy (Androgen Deprivation Therapy)
Used to block the production or action of male hormones (androgens) that fuel cancer growth. This is typically used for advanced or recurrent cancer.
Options include:
Medication to reduce testosterone
Surgical removal of the testicles (orchiectomy)
5. Chemotherapy
Used when prostate cancer has spread outside the prostate and does not respond to hormone therapy. Drugs are administered orally or intravenously to kill rapidly dividing cancer cells.
6. Targeted Therapy & Immunotherapy
Emerging treatments like PARP inhibitors or immunotherapy are increasingly available in Singapore through clinical trials and specialized oncologists. These treatments target cancer cells more precisely and are especially useful for patients with certain genetic mutations.
Leading Medical Institutions in Singapore
Singapore is home to some of Asia’s most renowned cancer treatment centers. These institutions offer multidisciplinary care, world-class technology, and access to clinical trials.
National Cancer Centre Singapore (NCCS)
Singapore General Hospital (SGH)
National University Cancer Institute, Singapore (NCIS)
Tan Tock Seng Hospital (TTSH)
Mount Elizabeth Hospital
Gleneagles Hospital
Parkway Cancer Centre
These centers provide integrated care from diagnosis through to post-treatment rehabilitation.
Support Services and Survivorship Care
Living with prostate cancer can be challenging, but Singapore offers a robust support network for patients and their families.
Cancer support groups: Run by hospitals and organizations like the Singapore Cancer Society.
Counseling and psycho-oncology: Available at major hospitals to address emotional well-being.
Nutritional and rehabilitation programs: Focused on recovery and maintaining quality of life.
Palliative care: Offered for advanced-stage cancer patients to manage symptoms and improve comfort.
Why Choose Singapore for Prostate Cancer Treatment?
Patients from around the region choose Singapore for its:
Highly trained specialists: Urologists, oncologists, and radiologists with international experience.
State-of-the-art technology: Including robotic surgery and advanced imaging.
Efficient and patient-centered care
Multilingual medical staff
Strong regulatory and safety standards
Conclusion
Prostate cancer treatment in Singapore combines cutting-edge medical care with compassionate support to offer patients the best possible outcomes. Whether through active surveillance or advanced robotic surgery, Singapore’s healthcare ecosystem provides tailored treatment plans that prioritize quality of life and long-term health. With access to skilled specialists, innovative therapies, and comprehensive support, Singapore stands as a leading destination for prostate cancer care in Asia.