Treatment of Stage IV Prostate Cancer

For information about the treatments listed below, see the Treatment Option Overview section.

Standard treatment of stage IV prostate cancer may include the following:

• Hormone therapy.
• Hormone therapy combined with chemotherapy.
• Bisphosphonate therapy.
• External radiation therapy. Hormone therapy may be given after radiation therapy.
• Alpha emitter radiation therapy.
• Watchful waiting.
• Active surveillance. If the cancer begins to grow, hormone therapy may be given.
• A clinical trial of radical prostatectomy with orchiectomy.

Treatment to control cancer that is in the prostate and lessen urinary symptoms may include the following:

• Transurethral resection of the prostate (TURP).
• Radiation therapy.

Use our clinical trial search to find NCI-supported cancer clinical trials that are accepting patients. You can search for trials based on the type of cancer, the age of the patient, and where the trials are being done. General information about clinical trials is also available.