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Prostate Cancer Doctor for Elevated PSA, Active Surveillance & Second Opinions

Get Clarity Before Making a Major Prostate Cancer Decision

Work with Dr. Stephen Petteruti, DO, a board-certified physician and experienced prostate doctor helping men navigate elevated PSA, prostate cancer diagnoses, active surveillance, second opinions, and long-term prostate health.

If you have been told you need a biopsy, surgery, radiation, or immediate treatment, a second opinion can help you better understand your diagnosis, your level of risk, and the options available to you.

Our approach focuses on thoughtful decision-making, careful monitoring, and protecting long-term health and quality of life.

In-person and virtual consultations available.

We currently have providers in the following states:
AZ CO CT FL IA IL LA MA MI MN NM NV NY OR RI TX VA WA WY
Dr. Petteruti smiling, standing with arms folded

Before You Make A Prostate Cancer Treatment Decision

A rising PSA, abnormal MRI, biopsy recommendation, or prostate cancer diagnosis can quickly lead to a series of major decisions.

You may be wondering.

Do I really need a biopsy now?
Should I consider active surveillance?
How aggressive is my prostate cancer?
Should I get a second opinion before surgery or radiation?
What happens if I wait?
How could treatment affect urinary function, sexual health, hormones, and quality of life?

These are decisions that deserve careful evaluation.

Dr. Petteruti helps men review the available information, understand their options, and prepare for informed conversations with their urologist, oncologist, and other members of their medical team.

Why Men Seek A Prostate Cancer Second Opinion

Most prostate cancer care begins with PSA testing and may progress to imaging, biopsy, diagnosis, active surveillance, surgery, radiation, or other treatments.

But not every man has the same disease, risk profile, priorities, or timeline.
Dr. Petteruti takes a broader view of the decision-making process by considering:

 

Active Surveillance

Helping men understand when careful monitoring may be part of the conversation and what an appropriate monitoring strategy can involve.

 

PSA Trend Analysis

Looking beyond a single PSA result to understand changes over time, free PSA percentage, velocity, and other relevant factors.

 

MRI Interpretation

Reviewing available imaging and pathology reports to better understand what has already been discovered and what questions remain.

 

Hormonal & Metabolic Health

Considering testosterone, metabolic health, inflammation, body composition, strength, and other factors that can influence long-term health.

 

Treatment Tradeoffs

Helping patients understand the potential benefits, risks, and quality-of-life implications of different prostate cancer treatment paths.

 

Long-Term Quality of Life Focus

Evaluating decisions not only in terms of cancer management, but also sexual health, urinary function, strength, vitality, and independence.

Who Should See A Prostate Cancer Doctor?


This consultation may be appropriate for men dealing with:

Elevated PSA
Rising PSA over time
Enlarged prostate or BPH
Abnormal prostate MRI or PI-RADS findings
A recommendation for prostate biopsy
A recommendation for active surveillance
A recent prostate cancer diagnosis
Questions about Gleason score or biopsy findings
Concerns about prostate surgery or radiation
A desire for a second opinion before beginning treatment
Man in blue shirt, sitting with hands folded, concerned

 What Happens During Your Prostate Cancer Consultation?

Your consultation begins with a one-on-one review with Dr. Stephen Petteruti.

Dr. Stephen Petteruti in scrubs standing in front of a white wall

A Different Approach to Prostate Cancer Care


Dr. Petteruti's approach emphasizes careful analysis before irreversible decisions.

Depending on your situation, the broader strategy may consider:

  • Active surveillance and monitoring
  • PSA and laboratory trends
  • Imaging
  • Hormonal health
  • Metabolic health
  • Nutrition and lifestyle
  • Supplements where appropriate
  • Medications when medically appropriate
  • Coordination with specialists

The objective is not to avoid conventional treatment when it is necessary.

The objective is to make sure major treatment decisions are made with as much information and clarity as possible.

Choose The Level Of Prostate Health Support You Need

 

Become a Patient of Dr. Petteruti

For men who want Dr. Petteruti directly involved in their ongoing medical care.

May include personalized strategy, clinical monitoring, medications when appropriate, and ongoing medical management.

BEST FOR
Men seeking structured, ongoing care

 

Prostate Monitoring

Track PSA, imaging, laboratory findings, and changes over time while maintaining a deliberate monitoring strategy.

BEST FOR
Men who want ongoing oversight without rushing into unnecessary intervention

 

IM Membership

Access education about prostate cancer biology, PSA testing, imaging, risk assessment, treatment decisions, metabolic health, and healthy aging.

BEST FOR
Men who want to become more informed before making medical decisions

Not Ready To Book a Prostate Cancer Consultation?

Get Dr. Petteruti's Free Prostate Cancer Decision-Making Framework

If you're dealing with an elevated PSA, abnormal MRI, biopsy recommendation, or prostate cancer diagnosis, this guide will help you understand the questions worth asking before making a major decision.

Inside, you'll learn about:

Understanding PSA trends
Questions to ask before prostate biopsy
Questions to ask before surgery or radiation
Active surveillance
Evaluating prostate cancer treatment options
Preparing for a prostate cancer second opinion
 
Prostate cancer decision making framework by Dr. Petteruti

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