Follow up

After treatment, you have regular check ups. You also have tests to check your PSA level. 

Why you have follow up appointments

You usually have follow up appointments to check how you are and see whether you have any problems or worries. The appointments also give you the chance to raise any concerns you have about your progress.

What happens?

Your doctor or nurse examines you at each appointment. They ask how you are feeling, whether you have had any symptoms or side effects, and if you are worried about anything. You might also have tests at some visits.

You usually have a blood test to monitor your prostate specific antigen (PSA) level.

Depending on your PSA level, you might have a prostate examination. The doctor puts a gloved finger into your back passage (digital rectal examination).

You might have an MRI or bone scan.

How often will I have check ups?

Treatment to cure your cancer

Your first check up is usually at least 6 weeks after treatment. Then, your check ups will be every 6 months for 2 years. And at least once a year after that.

To begin with, you usually go for check ups at the hospital outpatients. After 2 years, you might have your appointments with your GP. Instead of seeing the doctor in a clinic, you might be able to have a telephone consultation. 

In some hospitals, you might be able to have your PSA test done at your GP. Your doctor and clinical nurse specialist will then monitor the results and contact you if there is a problem. 

Monitoring your cancer

If the doctors are monitoring your cancer with watchful waiting, then you have check ups at least once a year at your GP. With active surveillance, you have check ups every few months with your specialist doctor. 

Advanced cancer

If your cancer is advanced, you might see the doctor more often. This depends on your symptoms and what treatment you are having.

If you're worried

If you are worried or notice any new symptoms between your appointments, let your doctor or nurse know as soon as possible. You don't have to wait until the next appointment.

Many people find their check ups quite worrying. A hospital appointment can bring back any anxiety you had about your cancer.

It can help to tell someone close to you how you’re feeling. Sharing your worries can mean they don’t seem so overwhelming. Many people find it helpful to have counselling after cancer treatment.

Patient led follow up

Some hospitals are trying out a new way of running their check ups. This system leaves it to you to take the lead in arranging to see your doctor or specialist nurse.

When you first finish treatment, your hospital arranges your appointments. But once your doctors are happy with your progress you can arrange them yourself. You can do this as often as you feel you need to.

You might want to make an appointment if you:

  • have noticed a change in your body that worries you
  • feel it is time you had a check up, even though you don't have any particular worries

In some situations, your specialist will ask you to book in for a particular test every so often.

This system means you can organise appointments to suit your own health needs. It also means that clinics aren’t full of people who might not need to see their doctor. This helps the hospital to keep waiting times short, so you can get an appointment quickly when you need one.

Last reviewed: 
21 Jun 2019
  • Prostate cancer: diagnosis and management
    National Institute for Health and Care Excellence (NICE), 2019

  • The Three-Item Alert-B questionnaire provides a validated screening tool to detect chronic gastrointestinal symptoms after pelvic radiotherapy in cancer survivors
    S Taylor and others
    Clinical Oncology, 2016. Volume 28, Pages 139-147

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