We are focused on delivering PRECISION with our multi-disciplinary EXPERTISE because we are committed to deliver quality prostate cancer treatment you deserve.
Comprehensive Prostate Cancer Treatment
Allow us to gain a comprehensive understanding of your condition to formulate a personalized treatment plan that aligns to your needs. Click to find out more.
PRE- DIAGNOSIS
I am concerned that I may have Prostate Cancer
EARLY STAGE
I have been diagnosed with early prostate cancer and want to know about all the treatment options for cure
LOCALLY ADVANCED
I have been diagnosed with advanced prostate cancer and need help coordinating the combination treatments needed for best outcome
STAGE 4
I have metastatic Prostate cancer and am looking for treatments to live as long as possible while maintaining quality of life
Spaceoar Rectal Spacer
- What is Spaceoar Rectal Spacer?
- How does it work?
- What is the procedure like?
- Benefits of Spaceoar Rectal Spacer
What You Need To Know
All you need to know to provide cancer patients, caregivers, family and friends a compilation of the relevant resources that they can use to navigate their cancer journey
Latest Articles
For some, cancer can be a defeating experience; for others, a victorious turning point. Approaching 60 and diagnosed with prostate cancer, the experience was the catalyst for a complete lifestyle change that Kelvin Tang never imagined, and the start of physical triumphs he could never have fathomed at his age.
Frequently Asked Questions
It is effective – long term outcomes show very low recurrence rates for low and intermediate risk prostate cancers
It is safe – serious side urinary (2.4%) and gastrointestinal (0.4%) side effect rates are low and comparable to the already historically low rates for IMRT and brachytherapy[3].
It is non-invasive – No cutting, no poking of needles, no insertion of catheters, no anaesthesia required
It is convenient – 5 outpatient treatments each taking up to half-an-hour, done over 1 and a half weeks. Normal life can continue before, during and after.
It is economical even for those without private insurance coverage – Medisave and medishield can be used for most of the treatment cost, with less cash outlay compared to IMRT.
International guidelines state Prostate Radiosurgery is suitable for low and intermediate risk prostate cancers. It is also a possible option for high risk prostate cancer in patients who are unable to undertake a prolonged course of IMRT or brachytherapy for medical or social reasons[4].
In navigating this choice, it is important to consult a prostate oncologist well trained in all treatment options, especially radiosurgery, to provide a balanced view before settling on radiosurgery.
Being an outpatient treatment, Prostate Radiosurgery does not involve hospital stays unlike Robotic Prostatectomy and in most cases Prostate Brachytherapy.
Hence, the cost of Prostate Radiosurgery generally is half or less of the above procedures.
Furthermore, Medisave and Medishield can be used to cover the majority (80-90%) of treatment cost, with significantly less cash outlay compared to that of IMRT.
Hormone therapy can control prostate cancer and is used together with IMRT in intermediate and high-risk cancers. Because of the high doses used in Prostate Radiosurgery, in some intermediate risk cases, hormone therapy is not needed at all. Radiosurgery can be combined with high risk cases to improve outcomes.
Highly focussed ultrasound (HIFU) or Cryosurgery are not recommended in guidelines as the main treatment for localised prostate cancer, due to the lack of long term data compared to surgery or radiotherapy.
Proton therapy potentially spares more normal tissue from radiation compared to photon therapy (IMRT or SBRT), but this is more in the low to moderate dose range. The rectum and bladder adjacent to the prostate can still receive high doses of radiation with proton therapy. There is still a lack of direct comparative studies showing that proton therapy is better than IMRT or Radiosurgery for prostate cancer.
Radiosurgery involves delivering extremely high doses of radiation to a focused area. Thus the margin for error is very small and radiation once released cannot be reversed. Hence not only must the Radiosurgeon in-charge be well trained in radiation medicine, he must also have the necessary training in handling the navigational software and radiation delivery equipment, as well as have sufficient clinical experience in giving high radiation doses to different areas of the body. In addition, he needs to ensure that his entire radiation team is well coordinated and familiar with Radiosurgery treatment protocols and quality assurance procedures so that the final result is safe and effective. As the saying goes, we are only as strong as our weakest link.
Prostate SBRT was first performed using the Cyberknife but since then the proportion of Prostate SBRT treated with Linac has increased rapidly, with similar results in terms of effectiveness and long term side effects. The table below shows the main differences between SBRT using the 2 machines – mainly is that Cyberknife requires an extra procedure of implantation of gold markers into the prostate and requires the patient to keep still for longer.
Meet Our Lung Oncologist
Dr Jonathan Teh Yi Hui
Medical Director (CSR)
Senior Consultant Radiation Oncologist
MBBS (SIN), FRCR (CLINICAL ONCOLOGY, UK)
FAMS (RADIATION ONCOLOGY)
Dr Daniel Tan Yat Harn
Director
Senior Consultant Radiation Oncologist
MBBS (SIN), FRCR (CLINICAL ONCOLOGY, UK), FAMS (RADIATION ONCOLOGY), MBA (Healthcare Management)
Our Insurance Panels
Please reach out to us to find out more on financing your treatment
About Asian Alliance Radiation & Oncology
Founded in 2015, Asian Alliance Radiation & Oncology (AARO) is Singapore’s first independent radiation oncology clinic which has since grown to become an Oncology Group with its own radiation treatment center, ‘Centre for Stereotactic Radiosurgery’ situated at Adam Road.
Anchored by a multidisciplinary team of Oncologists and Healthcare Professionals who are well-versed in the latest cancer treatments and trends, AARO aims to provide a one-stop solution for each patient’s unique situation – delivering evidence-based medicine and personalized care.
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