Things to Know When You Are Diagnosed With Prostate Cancer, With Michael Leapman, M.D., M.H.S.

Michael Leapman, M.D., MHS, a urologist and associate professor of urology at Yale School of Medicine, emphasizes the importance of being well informed when facing a prostate cancer diagnosis. According to Leapman, the most crucial step for anyone on this journey is to gather as much detailed information as possible about their specific cancer. This includes understanding how aggressive the cancer is and selecting a treatment approach that matches the level of risk it poses.

He reassures patients that when prostate cancer is localized — that is, contained within the prostate — it is often highly treatable and manageable. In many cases, treatment can be personalized and adjusted based on the cancer’s characteristics, allowing some individuals to avoid overly aggressive interventions.

A biopsy remains the cornerstone of prostate cancer diagnosis and treatment planning, but Leapman explains that other tools are also vital. Imaging, such as MRI scans of the prostate, offers a clearer picture of the tumor’s behavior. Newer technologies, like PET scans, allow doctors to search the entire body for even small signs of cancer spread, increasing the accuracy of diagnosis and staging. These advances help doctors tailor treatments more precisely, which can lead to better outcomes and fewer side effects.

Leapman also strongly encourages patients to seek second opinions. In his experience, hearing multiple expert perspectives can make a significant difference in a patient’s confidence and understanding. For example, someone who first meets with a surgeon should also consider consulting a radiation oncologist, and vice versa. This collaborative, multidisciplinary approach ensures that patients receive balanced information and can make informed decisions about their care. Ultimately, Leapman believes that precision, education and patient empowerment are key components of high-quality prostate cancer treatment.

4 Things to Know When You Are Diagnosed With Prostate Cancer:

• Get all the facts. Understanding how aggressive your prostate cancer is helps guide the right treatment plan.
• Localized prostate cancer is very treatable. Many cases can be managed effectively or even cured.
• Precision is key. Personalized treatment based on your specific cancer profile leads to better outcomes.
• Second opinions help. Talking to both a urologist and a radiation oncologist can provide a more complete picture.